Whitcomb, Rachel Eleanor
Whitcomb, Rachel Eleanor is an individual health care provider with primary practice located at 1960 Northside Blvd , South Bend IN 46615. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Whitcomb, Rachel Eleanor can be contacted via phone (574) 307-7673.Contact Information
Primary practice address
1960 Northside Blvd
South Bend IN 46615
Phone: (574) 307-7673
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 72000074A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 72000074A | Indiana |
Profile Details
NPI number | 1548201684 |
---|---|
LBN Legal business name | Whitcomb, Rachel Eleanor |
Credentials | FNP BC, CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | Feb 7th, 2024 - about 9 months 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 | 1548201684 | NPPES |
Indiana | Other | 000000577788 | BCBS |
Indiana | MEDICAID | 200398660 | BCBS |
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