Liang, Marta Rebeccah
Liang, Marta Rebeccah is an individual health care provider with primary practice located at 37100 N Gantzel Rd Ste 106 , San Tan Valley AZ 85140-7350. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Liang, Marta Rebeccah can be contacted via phone (480) 821-3600.Contact Information
Primary practice address
37100 N Gantzel Rd Ste 106
San Tan Valley AZ 85140-7350
Phone: (480) 821-3600
Fax: (480) 857-2667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6264 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6264 | Arizona |
Profile Details
| NPI number | 1003288804 |
|---|---|
| LBN Legal business name | Liang, Marta Rebeccah |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2015 |
| Last updated | May 30th, 2024 - about 2 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 | 1003288804 | NPPES |
| Arizona | MEDICAID | 152111 |
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