Tanner, Rebecca Webb

Tanner, Rebecca Webb is an sole proprietor health care provider with primary practice located at 4582 Franklin Rd Sw , Roanoke VA 24014-5144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as her primary health care specialty. Tanner, Rebecca Webb can be contacted via phone (540) 772-8052.

Contact Information

Primary practice address
4582 Franklin Rd Sw Roanoke VA 24014-5144
Fax: (540) 772-4508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 0101047618 Virginia

Profile Details

NPI number 1548367667
LBN Legal business name Tanner, Rebecca Webb
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 9th, 2007 - about 19 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 1548367667 NPPES
Virginia MEDICAID 6801510

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