Dodge, Rebecca

Dodge, Rebecca is an sole proprietor health care provider with primary practice located at 4611 E Shea Blvd Ste 180 , Phoenix AZ 85028-4258. She recently has only one registered license in Suppliers / Pharmacy, which is considered as her primary health care specialty. Dodge, Rebecca can be contacted via phone (612) 720-2684.

Contact Information

Primary practice address
4611 E Shea Blvd Ste 180 Phoenix AZ 85028-4258
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1245884014
LBN Legal business name Dodge, Rebecca
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2019
Last updated Jul 30th, 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.

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