Branscum, Rebekah Walters

Branscum, Rebekah Walters is an sole proprietor health care provider with primary practice located at 8536 W Highway 80 , Nancy KY 42544-7744. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Branscum, Rebekah Walters can be contacted via phone (606) 636-4311.

Contact Information

Primary practice address
8536 W Highway 80 Nancy KY 42544-7744
Fax: (606) 636-4315
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8171 Kentucky

Profile Details

NPI number 1417092982
LBN Legal business name Branscum, Rebekah Walters
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 9th, 2007 - about 18 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 1417092982 NPPES
Kentucky MEDICAID 60002979

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