Stam, Rebecca Joy

Stam, Rebecca Joy is an individual health care provider with primary practice located at 12716 Ne 36Th St , Spencer OK 73084-9167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Stam, Rebecca Joy can be contacted via phone (405) 769-3301.

Contact Information

Primary practice address
12716 Ne 36Th St Spencer OK 73084-9167
Phone: (405) 769-3301
Fax: (405) 769-9685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X R104170 Oklahoma

Profile Details

NPI number 1467722744
LBN Legal business name Stam, Rebecca Joy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Nov 16th, 2012 - about 13 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 1467722744 NPPES
Oklahoma Other R104170 NURSING LICENSE

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