Whiteley, Rebecca D

Whiteley, Rebecca D is an individual health care provider with primary practice located at 195 Fore River Pkwy Suite 440, Portland ME 04102. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Whiteley, Rebecca D can be contacted via phone (207) 553-6920.

Contact Information

Primary practice address
195 Fore River Pkwy Suite 440 Portland ME 04102
Phone: (207) 553-6920
Fax: (207) 553-6940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 017407 Maine
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 017407 Maine

Profile Details

NPI number 1154499093
LBN Legal business name Whiteley, Rebecca D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Apr 22nd, 2013 - about 13 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 1154499093 NPPES
Maine MEDICAID 432509399

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