Souza, Rebecca S

Souza, Rebecca S is an individual health care provider with primary practice located at 3726 Broadway Suite 201, Everett WA 98201-3787. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Souza, Rebecca S can be contacted via phone (425) 317-9119.

Contact Information

Primary practice address
3726 Broadway Suite 201 Everett WA 98201-3787
Phone: (425) 317-9119
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004607 Washington

Profile Details

NPI number 1144277724
LBN Legal business name Souza, Rebecca S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jan 13th, 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 1144277724 NPPES
Washington MEDICAID 8394785
Washington Other PA10004607
Washington Other 0181108
Washington Other P00162972

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