Pavack, Rebecca
Pavack, Rebecca is an individual health care provider with primary practice located at 103 E Main Ave , Chewelah WA 99109-8960. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Pavack, Rebecca can be contacted via phone (509) 935-2225.Contact Information
Primary practice address
103 E Main Ave
Chewelah WA 99109-8960
Phone: (509) 935-2225
Fax: (509) 935-2273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA 60237541 | Washington |
Profile Details
| NPI number | 1134544620 |
|---|---|
| LBN Legal business name | Pavack, Rebecca |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2014 |
| Last updated | Feb 20th, 2014 - about 12 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 | 1134544620 | NPPES |
| Washington | Other | MA 60237541 | WA STATE DEPT OF HEALTH |
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