Provider Demographics
NPI:1417333006
Name:DENBOW, RACHEL LINN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:LINN
Last Name:DENBOW
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 ELM DR APT 3
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1740 CLEVELAND RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2204
Practice Address - Country:US
Practice Address - Phone:330-287-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA563931835P0018X
NC001005693363A00000X
CA56393363A00000X
OH50.004928363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC19F81OtherBCBSNC
NC4288843OtherAETNA
SC30222312OtherSELECT HEALTH OF SC
NCP01632570OtherRAILROAD MEDICARE
SC2367PAMedicaid
SC1205885OtherWELLCARE OF SC
NCP01632570OtherRAILROAD MEDICARE