Malott, Rebecca E

Malott, Rebecca E is an individual health care provider with primary practice located at 1 Medical Center Dr , Middletown OH 45005-2584. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Malott, Rebecca E can be contacted via phone (513) 705-4754.

Contact Information

Primary practice address
1 Medical Center Dr Middletown OH 45005-2584
Phone: (513) 705-4754
Fax: (513) 420-5156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN-300662 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-10005 Ohio

Profile Details

NPI number 1285894246
LBN Legal business name Malott, Rebecca E
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Sep 15th, 2015 - about 10 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 1285894246 NPPES
Ohio MEDICAID 2867509
Ohio Other 000000579135
Ohio Other P00706035

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