Bandeen, Rebecca Lynn
Bandeen, Rebecca Lynn is an sole proprietor health care provider with primary practice located at 6610 W Cordia Ln , Phoenix AZ 85083-7404. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Bandeen, Rebecca Lynn can be contacted via phone (623) 824-3660.Contact Information
Primary practice address
6610 W Cordia Ln
Phoenix AZ 85083-7404
Phone: (623) 824-3660
Fax: (623) 572-9405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Lactation Consultant | 163WL0100X | RN144575 | Arizona |
Profile Details
| NPI number | 1659918357 |
|---|---|
| LBN Legal business name | Bandeen, Rebecca Lynn |
| Credentials | IBCLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2019 |
| Last updated | Dec 2nd, 2019 - about 7 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 | 1659918357 | NPPES |
| Arizona | MEDICAID | 1578670121 |
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