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NPI Code Detail

MEDICARE: REBECCA JOHN MD

MEDICARE: REBECCA JOHN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician01066166AIN

General Provider Information

NPI Number : 1790008399
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JOHN MD
Provider Business Mailing Address
First Line : 1101 PROFESSIONAL BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-8016
Country : US
Telephone Number : 812-477-7246
Fax Number :
Provider Business Practice Location Address
First Line : 1101 PROFESSIONAL BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-8016
Country : US
Telephone Number : 812-477-7246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2010
Last Update Date : 07/08/2014

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Directions to “ REBECCA JOHN MD” Practice Location

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