Stam, Rebecca Joy
Stam, Rebecca Joy is an individual health care provider with primary practice located at 12716 Ne 36Th St , Spencer OK 73084-9167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Stam, Rebecca Joy can be contacted via phone (405) 769-3301.Contact Information
Primary practice address
12716 Ne 36Th St
Spencer OK 73084-9167
Phone: (405) 769-3301
Fax: (405) 769-9685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | R104170 | Oklahoma |
Profile Details
NPI number | 1467722744 |
---|---|
LBN Legal business name | Stam, Rebecca Joy |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2012 |
Last updated | Nov 16th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467722744 | NPPES |
Oklahoma | Other | R104170 | NURSING LICENSE |
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