O'Connor, Rebekah A
O'Connor, Rebekah A is an sole proprietor health care provider with primary practice located at 3295 Lake Seminole Pl , Buford GA 30519-3781. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. O'Connor, Rebekah A can be contacted via phone (770) 614-5646.Contact Information
Primary practice address
3295 Lake Seminole Pl
Buford GA 30519-3781
Phone: (770) 614-5646
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP004223 | Georgia |
Profile Details
NPI number | 1184702458 |
---|---|
LBN Legal business name | O'Connor, Rebekah A |
Credentials | M.S., CCC, SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 2nd, 2006 |
Last updated | Sep 5th, 2008 - about 15 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 | 1184702458 | NPPES |
Georgia | MEDICAID | 000937505A | |
Georgia | MEDICAID | 000937505B |
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