Wise, Rebecca Miller
Wise, Rebecca Miller is an sole proprietor health care provider with primary practice located at 1858 W Grandview Blvd Bayfront Campus - Lecom Mtm Services, Erie PA 16509-1025. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wise, Rebecca Miller can be contacted via phone (814) 868-2584.Contact Information
Primary practice address
1858 W Grandview Blvd Bayfront Campus - Lecom Mtm Services
Erie PA 16509-1025
Phone: (814) 868-2584
Fax: (814) 868-2589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RP440472 | Pennsylvania |
Profile Details
| NPI number | 1770606162 |
|---|---|
| LBN Legal business name | Wise, Rebecca Miller |
| Credentials | RPH, PHARMD, MED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Oct 29th, 2012 - about 12 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 | 1770606162 | NPPES |
| Pennsylvania | Other | 1760736870 | LECOM MTM SERVICES NPI |
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