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Contact Information

REBECCA A LA ROCK, PAC
1111 DELAFIELD STREET
SUITE 311
WAUKESHA, WI53188
 Phone: 262-544-4411
 Fax: 262-650-3856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for REBECCA A LA ROCK · (Female)

NPI # 1245609742
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/15/2015
Last updated 02/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3710
Hospital affiliation(s)
  • WAUKESHA MEMORIAL HOSPITAL - (Acute Care)
    725 AMERICAN AVE
    WAUKESHA, WI 53188
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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