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Contact Information

REBECCA I MOORE, PAC
201 3RD AVE
SUITE 201
SEWARD, AK99664
 Phone: 907-224-4916
 Fax: 907-224-5870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for REBECCA I MOORE · (Female)

NPI Number 1720273295
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/07/2007
Last updated 01/13/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AK License # PAD A 830
  • CA License # 19315
  • CA Medicaid PA19315
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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