Green, Rebecca Antee
Green, Rebecca Antee is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Pediatrics, Section Of Critical Care, Shreveport LA 71103-4228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Green, Rebecca Antee can be contacted via phone (318) 675-8601.Contact Information
Primary practice address
1501 Kings Hwy Department Of Pediatrics, Section Of Critical Care
Shreveport LA 71103-4228
Phone: (318) 675-8601
Fax: (318) 675-8872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 024094 | Louisiana |
Profile Details
| NPI number | 1992725915 |
|---|---|
| LBN Legal business name | Green, Rebecca Antee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 31st, 2009 - about 17 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 | 1992725915 | NPPES |
| Louisiana | MEDICAID | 1105937 |
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