Slocum, Rebekah S

Slocum, Rebekah S is an individual health care provider with primary practice located at 1101 1St St Sw , Roanoke VA 24016-4701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Slocum, Rebekah S can be contacted via phone (540) 342-7680.

Contact Information

Primary practice address
1101 1St St Sw Roanoke VA 24016-4701
Phone: (540) 342-7680
Fax: (540) 342-7683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 7799-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024167406 Virginia

Profile Details

NPI number 1063433357
LBN Legal business name Slocum, Rebekah S
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 12th, 2008 - about 17 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 1063433357 NPPES
Ohio Other 000000370805 ANTHEM
Ohio MEDICAID 2573315 ANTHEM

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