Todd, Rebecca A

Todd, Rebecca A is an individual health care provider with primary practice located at 515 Ne Glen Oak Avenue Suite 202, Peoria IL 61603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Todd, Rebecca A can be contacted via phone (309) 674-2002.

Contact Information

Primary practice address
515 Ne Glen Oak Avenue Suite 202 Peoria IL 61603
Phone: (309) 674-2002
Fax: (309) 674-0774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0041296072 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041-296072 Illinois

Profile Details

NPI number 1306899182
LBN Legal business name Todd, Rebecca A
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 5th, 2008 - about 16 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 1306899182 NPPES
Illinois Other 500003427 RAILROAD MEDICARE
Illinois Other 07215075 RAILROAD MEDICARE
Illinois Other IL0101 RAILROAD MEDICARE

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