Reyes, Rebecca Robancho

Reyes, Rebecca Robancho is an individual health care provider with primary practice located at 14701 Detroit Ave Suite 740, Lakewood OH 44107-4115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reyes, Rebecca Robancho can be contacted via phone (216) 226-0110.

Contact Information

Primary practice address
14701 Detroit Ave Suite 740 Lakewood OH 44107-4115
Phone: (216) 226-0110
Fax: (216) 226-3110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 037649 Ohio

Profile Details

NPI number 1316939184
LBN Legal business name Reyes, Rebecca Robancho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Mar 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316939184 NPPES
Ohio Other 000000131576 ANTHEM
Ohio MEDICAID 0428657 ANTHEM

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