Todd, Rebekah Elizabeth
Todd, Rebekah Elizabeth is an individual health care provider with primary practice located at 2250 N Pointe Dr , Warsaw IN 46582-9042. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Todd, Rebekah Elizabeth can be contacted via phone (574) 267-3515.Contact Information
Primary practice address
2250 N Pointe Dr
Warsaw IN 46582-9042
Phone: (574) 267-3515
Fax: (574) 267-3259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.009867 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1800DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003626A | Indiana |
Profile Details
| NPI number | 1235161035 |
|---|---|
| LBN Legal business name | Todd, Rebekah Elizabeth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1235161035 | NPPES |
| Indiana | MEDICAID | 200989490 | |
| Indiana | MEDICAID | 7100125250 | |
| Indiana | Other | 000000672073 | |
| Indiana | Other | 000000672073 |
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