Wall, Rebecca

Wall, Rebecca is an individual health care provider with primary practice located at 425 Lewis Hargett Cir , Lexington KY 40503-3590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wall, Rebecca can be contacted via phone (859) 268-1030.

Contact Information

Primary practice address
425 Lewis Hargett Cir Lexington KY 40503-3590
Phone: (859) 268-1030
Fax: (859) 269-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3003248 Kentucky

Profile Details

NPI number 1356300362
LBN Legal business name Wall, Rebecca
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated May 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356300362 NPPES
Kentucky MEDICAID 74002247

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