Wiley, Rebecca
Wiley, Rebecca is an individual health care provider with primary practice located at 960 E Walnut Lawn St Ste 102 , Springfield MO 65807-7865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Wiley, Rebecca can be contacted via phone (417) 875-3600.Contact Information
Primary practice address
960 E Walnut Lawn St Ste 102
Springfield MO 65807-7865
Phone: (417) 875-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 105106 | Missouri |
Profile Details
| NPI number | 1124264825 |
|---|---|
| LBN Legal business name | Wiley, Rebecca |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2008 |
| Last updated | Aug 20th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124264825 | NPPES |
| Missouri | MEDICAID | 206976029 |
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