Small, Rebecca R

Small, Rebecca R is an individual health care provider with primary practice located at 550 University Blvd Uh 1501, Indianapolis IN 46202-5149. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Small, Rebecca R can be contacted via phone (317) 948-0763.

Contact Information

Primary practice address
550 University Blvd Uh 1501 Indianapolis IN 46202-5149
Phone: (317) 948-0763
Fax: (317) 948-0503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11291 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01063143A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01063143A Indiana

Profile Details

NPI number 1194720003
LBN Legal business name Small, Rebecca R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 17th, 2014 - 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 1194720003 NPPES
New Hampshire MEDICAID 30201716
New Hampshire MEDICAID 200855860

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