Wagaman, Rebecca A
Wagaman, Rebecca A is an individual health care provider with primary practice located at 330 E Hibiscus Blvd , Melbourne FL 32901-3155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wagaman, Rebecca A can be contacted via phone (321) 724-2229.Contact Information
Primary practice address
330 E Hibiscus Blvd
Melbourne FL 32901-3155
Phone: (321) 724-2229
Fax: (321) 728-6668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME49648 | Florida |
Profile Details
| NPI number | 1740274646 |
|---|---|
| LBN Legal business name | Wagaman, Rebecca A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Mar 5th, 2015 - about 11 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 | 1740274646 | NPPES |
| Florida | MEDICAID | 046612300 |
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