Richard, Rebecca L
Richard, Rebecca L is an individual health care provider with primary practice located at 36 Lafayette St , Norwich CT 06360-3408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Richard, Rebecca L can be contacted via phone (860) 885-0666.Contact Information
Primary practice address
36 Lafayette St
Norwich CT 06360-3408
Phone: (860) 885-0666
Fax: (860) 885-1158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002676 | Connecticut |
Profile Details
| NPI number | 1053680819 |
|---|---|
| LBN Legal business name | Richard, Rebecca L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2011 |
| Last updated | Jan 5th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053680819 | NPPES |
| Connecticut | Other | 002676 | PHYSICIAN ASSISTANT LICENSE |
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