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Contact Information

REBECCA L CHILDERS, PA
22711 S ELLSWORTH ROAD
SUITE 104
QUEEN CREEK, AZ85142
 Phone: 480-782-0993
 Fax: 833-337-0386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for REBECCA L CHILDERS · (Female)

NPI # 1215068549
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/08/2007
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2760
  • NE License # 1293
  • NE Medicaid 100250445-00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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