Mittelstadt, Rebecca Lynn

Mittelstadt, Rebecca Lynn is an individual health care provider with primary practice located at 2709 Legends Pkwy , Prattville AL 36066-7755. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mittelstadt, Rebecca Lynn can be contacted via phone (334) 310-1117.

Contact Information

Primary practice address
2709 Legends Pkwy Prattville AL 36066-7755
Phone: (334) 310-1117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA405 Alabama

Profile Details

NPI number 1841267226
LBN Legal business name Mittelstadt, Rebecca Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Sep 24th, 2020 - about 6 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 1841267226 NPPES
Alabama Other 51000413 BLUE CROSS/BLUE SHIELD

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