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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548201684 NPPES
Indiana Other 000000577788 BCBS
Indiana MEDICAID 200398660 BCBS

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