Smith, Rebel Dawn
Smith, Rebel Dawn is an individual health care provider with primary practice located at 301 J T Stites Blvd , Sallisaw OK 74955-9302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Rebel Dawn can be contacted via phone (918) 775-9150.Contact Information
Primary practice address
301 J T Stites Blvd
Sallisaw OK 74955-9302
Phone: (918) 775-9150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R0072185 | Oklahoma |
Profile Details
| NPI number | 1659373223 |
|---|---|
| LBN Legal business name | Smith, Rebel Dawn |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jun 24th, 2019 - about 7 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 | 1659373223 | NPPES |
| Oklahoma | Other | 8EB426 | MEDICARE ID |
| Oklahoma | MEDICAID | 1772185 | MEDICARE ID |
Popular Providers
-
Barrett, Charlotte
511 E Redwood Ave , Sallisaw OK 74955-3020 -
Johnson, Joanne
301 S J T Stites St , Sallisaw OK 74955-9302 -
Jarvis, Julie
1630 S Kerr Blvd , Sallisaw OK 74955-7240 -
Lee, Vanessa Gail
1506 W Chickasaw Ave , Sallisaw OK 74955-7200 -
O'Dell, Audra Agent
1109 E Cherokee Ave , Sallisaw OK 74955-5035 -
Labs, Stefanie
1630 S Kerr Blvd , Sallisaw OK 74955-7240 -
O'Dell, Bradan Miller
301 S J T Stites St , Sallisaw OK 74955-9302 -
Birckel, Ragan
301 S J T Stites St , Sallisaw OK 74955-9302