Healthcare Provider Details

I. General information

NPI: 1326538299
Provider Name (Legal Business Name): REBECCA SCHILLING RDMS, RVT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9903 DECATUR RD
BALTIMORE MD
21220-3778
US

IV. Provider business mailing address

9903 DECATUR RD
BALTIMORE MD
21220-3778
US

V. Phone/Fax

Practice location:
  • Phone: 443-504-9605
  • Fax:
Mailing address:
  • Phone: 443-504-9605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number44030
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: