Andahazy, Rebecca Shannon

Andahazy, Rebecca Shannon is an individual health care provider with primary practice located at 2226 E Central Ave , Wichita KS 67214-4406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andahazy, Rebecca Shannon can be contacted via phone (316) 263-7575.

Contact Information

Primary practice address
2226 E Central Ave Wichita KS 67214-4406
Phone: (316) 263-7575
Fax: (316) 263-4942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-02567 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.1551 Alabama

Profile Details

NPI number 1700424959
LBN Legal business name Andahazy, Rebecca Shannon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated Dec 13th, 2022 - about 3 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 1700424959 NPPES
Alabama Other PA.1551 ALABAMA LICENSE
Alabama Other 15-02567 ALABAMA LICENSE

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