Roche, Rebecca J

Roche, Rebecca J is an individual health care provider with primary practice located at 90 Jackson Pike Holzer Clinic, Gallipolis OH 45631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Roche, Rebecca J can be contacted via phone (740) 446-5890.

Contact Information

Primary practice address
90 Jackson Pike Holzer Clinic Gallipolis OH 45631
Phone: (740) 446-5890
Fax: (740) 446-5982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 131550 Ohio

Profile Details

NPI number 1679568489
LBN Legal business name Roche, Rebecca J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 1st, 2009 - about 15 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 1679568489 NPPES
Ohio MEDICAID 0756347

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