Gollub, Rebecca

Gollub, Rebecca is an individual health care provider with primary practice located at 240 S 40Th St , Philadelphia PA 19104-6030. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Gollub, Rebecca can be contacted via phone (215) 898-6555.

Contact Information

Primary practice address
240 S 40Th St Philadelphia PA 19104-6030
Phone: (215) 898-6555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS042694 Pennsylvania
Dental Providers / Dentist 122300000X DS042694 Pennsylvania

Profile Details

NPI number 1376160192
LBN Legal business name Gollub, Rebecca
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2020
Last updated Oct 4th, 2020 - about 5 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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