Mccollum, Rebecca

Mccollum, Rebecca is an sole proprietor health care provider with primary practice located at 507 Dewey Ave , Poteau OK 74953-4215. She recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as her primary health care specialty. Mccollum, Rebecca can be contacted via phone (918) 649-0172.

Contact Information

Primary practice address
507 Dewey Ave Poteau OK 74953-4215
Fax:
Website:

Health care specialties

Profile Details

NPI number 1871032607
LBN Legal business name Mccollum, Rebecca
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2017
Last updated Feb 13th, 2017 - about 9 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 1871032607 NPPES
Oklahoma MEDICAID 000000

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