Gregory, Rebecca

Gregory, Rebecca is an individual health care provider with primary practice located at 575 S Royal St Ste 24 , Jackson TN 38301-7307. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gregory, Rebecca can be contacted via phone (731) 215-0502.

Contact Information

Primary practice address
575 S Royal St Ste 24 Jackson TN 38301-7307
Fax: (731) 345-4086
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4443 Tennessee

Profile Details

NPI number 1861964660
LBN Legal business name Gregory, Rebecca
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2018
Last updated Nov 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861964660 NPPES
Tennessee MEDICAID Q047391

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