Healthcare Provider Details
I. General information
NPI: 1386266195
Provider Name (Legal Business Name): REBECCA LYNNE SCHILLING PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/14/2020
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2320 ROTHSVILLE RD STE 200
LITITZ PA
17543-8217
US
IV. Provider business mailing address
3421 CONCORD RD
YORK PA
17402-9001
US
V. Phone/Fax
- Phone: 717-721-4800
- Fax: 717-626-1613
- Phone: 717-721-4800
- Fax: 717-626-1613
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | MA062532 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: