Roberts, Rebecca L

Roberts, Rebecca L is an individual health care provider with primary practice located at 136 S Ludlow St Fl. 1, Dayton OH 45402-1813. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Roberts, Rebecca L can be contacted via phone (937) 499-8273.

Contact Information

Primary practice address
136 S Ludlow St Fl. 1 Dayton OH 45402-1813
Phone: (937) 499-8273
Fax: (937) 223-9811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 291690 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-10474 Ohio
Nursing Service Providers / Diabetes Educator 163WD0400X RN291690 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.10474-NP Ohio

Profile Details

NPI number 1619123478
LBN Legal business name Roberts, Rebecca L
Credentials CNP,CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated Sep 16th, 2015 - about 10 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 1619123478 NPPES
Ohio Other 000000599279 BCBS OHIO
Ohio MEDICAID 2948341 BCBS OHIO
Ohio Other 421534506138 BCBS OHIO

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