Ultch, Rebecca
Ultch, Rebecca is an individual health care provider with primary practice located at 7309 N Knoxville Ave , Peoria IL 61614-2085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ultch, Rebecca can be contacted via phone (309) 692-9898.Contact Information
Primary practice address
7309 N Knoxville Ave
Peoria IL 61614-2085
Phone: (309) 692-9898
Fax: (309) 692-9055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085002060 | Illinois |
Profile Details
| NPI number | 1821054297 |
|---|---|
| LBN Legal business name | Ultch, Rebecca |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Oct 11th, 2007 - about 17 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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