Shaw, Rebecca

Shaw, Rebecca is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shaw, Rebecca can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11765778-4405 Utah

Profile Details

NPI number 1245955921
LBN Legal business name Shaw, Rebecca
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2022
Last updated Mar 4th, 2024 - about last year

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 1245955921 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah Other 000055266 RAILROAD MEDICARE
Utah MEDICAID 8760003008007 RAILROAD MEDICARE

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