NPI Registry.org

Rebecca A. Van Dolah

NPI Registration Record

Provider / OrganizationNPIDate Certified
REBECCA A. VAN DOLAH17008427212023-05-07

Rebecca A Van Dolah [F] graduated in 2013 and primarily specializes in Physician Assistant.

Rebecca A. Van Dolah is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700842721. Registration indicates Rebecca A. Van Dolah is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, ) 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) 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 ID749422137
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Rebecca A. Van Dolah MPAS
Practice Office Address17 ALICE PECK DAY DR UNIT C
LEBANON, NH US
Practice Office Telephone6034486344
Practice Office Fax6034483405
Mailing Address10 ALICE PECK DAY DR
LEBANON, NH 037662900 US
Business Telephone6034483121
Business Fax6034487462
HPT Codes
CodePractice
License No
State
2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Specialist/Technologist: Athletic Trainer

All Other Specialties & Provider Types

Specialist/Technologist Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
189
NH
363A00000XAccess 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
6026
CT
363A00000X PRIMARYAccess 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
0947
NH
OPI Codes
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