Individual
REBEKAH R MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1210 MEDICAL ARTS BLVD # A, SUITE 105, ANDERSON, IN 46011-3461
(765) 298-4668
(765) 298-4926
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001579A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01291669
MEDICARE RR PTAN
IN
Enumeration date
07/24/2013
Last updated
06/14/2021
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