Sobanski, Rebecca L

Sobanski, Rebecca L is an sole proprietor health care provider with primary practice located at 11431 N Port Washington Rd Ste 260 , Mequon WI 53092-3462. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sobanski, Rebecca L can be contacted via phone (414) 348-8392.

Contact Information

Primary practice address
11431 N Port Washington Rd Ste 260 Mequon WI 53092-3462
Phone: (414) 348-8392
Fax: (414) 296-8934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7047 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7047-33 Wisconsin

Profile Details

NPI number 1841646080
LBN Legal business name Sobanski, Rebecca L
Credentials APNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2016
Last updated May 26th, 2024 - about 6 months 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 1841646080 NPPES
Wisconsin MEDICAID 100058723

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