Swanson, Rebecca
Swanson, Rebecca is an individual health care provider with primary practice located at 2338 W Van Winkle Way Ste 2200 , Peoria IL 61615-7484. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Swanson, Rebecca can be contacted via phone (309) 692-6088.Contact Information
Primary practice address
2338 W Van Winkle Way Ste 2200
Peoria IL 61615-7484
Phone: (309) 692-6088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209001137 | Illinois |
Profile Details
| NPI number | 1679515738 |
|---|---|
| LBN Legal business name | Swanson, Rebecca |
| Credentials | C-FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Oct 3rd, 2018 - about 6 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 | 1679515738 | NPPES |
| Illinois | Other | 472310 | HEALTHLINK |
| Illinois | Other | 050610 | HEALTHLINK |
| Illinois | Other | 7215059 | HEALTHLINK |
| Illinois | Other | IL01R5 | HEALTHLINK |
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