| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REBECCA LAUREN STRUBY | 1093356958 | 2024-08-11 |
Rebecca Heitlinger [F] graduated in 2019 and primarily specializes in Physician Assistant.
Rebecca Lauren Struby is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093356958. Registration indicates Rebecca Lauren Struby is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 6204257744 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Rebecca Lauren Struby PA-C |
| Practice Office Address | 701 E MARSHALL ST WEST CHESTER, PA US |
| Practice Office Telephone | 6104315000 |
| Practice Office Fax | 6104315025 |
| Mailing Address | 701 E MARSHALL STREET WEST CHESTER, PA 193804412 US |
| Business Telephone | 6104315000 |
| Business Fax | 6104315025 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 701 E Marshall Street | Philadelphia, PA 193804412 | 6104315000 / 6104315025 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | OA005049
PA |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | MA061161
PA |