Tallbacka, Rachel Beverly
Tallbacka, Rachel Beverly is an individual health care provider with primary practice located at 13945 N Us Highway 441 , Lady Lake FL 32159-8924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tallbacka, Rachel Beverly can be contacted via phone (352) 277-3500.Contact Information
Primary practice address
13945 N Us Highway 441
Lady Lake FL 32159-8924
Phone: (352) 277-3500
Fax: (352) 277-3498
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1905 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2348 | Alaska |
Profile Details
NPI number | 1821022153 |
---|---|
LBN Legal business name | Tallbacka, Rachel Beverly |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2006 |
Last updated | Oct 17th, 2019 - about 5 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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