Chackalackal, Rebecca G
Chackalackal, Rebecca G is an individual health care provider with primary practice located at University Of Iowa Student Health Service 4189 Wl, Iowa City IA 52242-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chackalackal, Rebecca G can be contacted via phone (319) 335-8370.Contact Information
Primary practice address
University Of Iowa Student Health Service 4189 Wl
Iowa City IA 52242-1100
Phone: (319) 335-8370
Fax: (319) 335-7247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33635 | Iowa |
Profile Details
| NPI number | 1609863323 |
|---|---|
| LBN Legal business name | Chackalackal, Rebecca G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Sep 28th, 2007 - about 19 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 | 1609863323 | NPPES |
| Iowa | MEDICAID | 1192815 | |
| Iowa | Other | 55711 |
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