Whitehead, Rebecka Anne

Whitehead, Rebecka Anne is an individual health care provider with primary practice located at 5135 Rockberry Rd , Loves Park IL 61111-3389. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Whitehead, Rebecka Anne can be contacted via phone (608) 295-3662.

Contact Information

Primary practice address
5135 Rockberry Rd Loves Park IL 61111-3389
Phone: (608) 295-3662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043.109145 Illinois

Profile Details

NPI number 1295484012
LBN Legal business name Whitehead, Rebecka Anne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2022
Last updated Mar 20th, 2022 - about 4 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 1295484012 NPPES
Illinois Other 043.109145 LICENSED PRACTICAL NURSE LICENSE

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