Hauck, Rebecca J

Hauck, Rebecca J is an individual health care provider with primary practice located at 915 Sagamore Pkwy W , West Lafayette IN 47906-1443. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hauck, Rebecca J can be contacted via phone (765) 463-2424.

Contact Information

Primary practice address
915 Sagamore Pkwy W West Lafayette IN 47906-1443
Phone: (765) 463-2424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28188953A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005320A Indiana

Profile Details

NPI number 1134527807
LBN Legal business name Hauck, Rebecca J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2014
Last updated Apr 20th, 2023 - about 3 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 1134527807 NPPES
Indiana Other 000000921057 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201273920 ANTHEM PROVIDER NUMBER

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