Sprouse, Rebekah

Sprouse, Rebekah is an individual health care provider with primary practice located at 1 Medical Center Blvd Suite 103, Cookeville TN 38501-4294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Sprouse, Rebekah can be contacted via phone (931) 783-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Suite 103 Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD49739 Tennessee

Profile Details

NPI number 1396056164
LBN Legal business name Sprouse, Rebekah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated May 15th, 2017 - about 7 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 1396056164 NPPES
Tennessee Other 4352422 BCBS
Tennessee MEDICAID Q002274 BCBS
Tennessee MEDICAID 7100410150 BCBS

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