Southard, Rebecca E

Southard, Rebecca E is an individual health care provider with primary practice located at 10 New Driftway Suite 103, Scituate MA 02066-4530. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Southard, Rebecca E can be contacted via phone (781) 545-9285.

Contact Information

Primary practice address
10 New Driftway Suite 103 Scituate MA 02066-4530
Phone: (781) 545-9285
Fax: (781) 545-9553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2048 Massachusetts

Profile Details

NPI number 1003818436
LBN Legal business name Southard, Rebecca E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 8th, 2008 - about 16 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 1003818436 NPPES
Massachusetts Other 2316054 AETNA
Massachusetts Other Y71003 AETNA
Massachusetts MEDICAID 0357871 AETNA
Massachusetts Other 333403 AETNA
Massachusetts Other 002048 AETNA
Massachusetts Other 2700098 AETNA
Massachusetts Other 0000644 AETNA
Massachusetts Other 480018778 AETNA
Massachusetts Other B2081900 AETNA

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