Healthcare Provider Details

I. General information

NPI: 1578037735
Provider Name (Legal Business Name): REBEKAH REBER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH ZETS PA-C

II. Dates (important events)

Enumeration Date: 01/21/2019
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 WHIPPLE AVE NW
NORTH CANTON OH
44720-7618
US

IV. Provider business mailing address

PO BOX 80690
CANTON OH
44708-0690
US

V. Phone/Fax

Practice location:
  • Phone: 330-305-6999
  • Fax: 330-305-6997
Mailing address:
  • Phone: 330-363-7444
  • Fax: 330-363-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.006419RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: