Provider Demographics
NPI:1679568513
Name:STRICKLAND, REBECCA L (MD)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:L
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 E MANSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:OH
Mailing Address - Zip Code:44820-1960
Mailing Address - Country:US
Mailing Address - Phone:419-563-0300
Mailing Address - Fax:419-563-0500
Practice Address - Street 1:1323 E MANSFIELD ST
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-1960
Practice Address - Country:US
Practice Address - Phone:419-563-0300
Practice Address - Fax:419-563-0500
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083452S207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2500565Medicaid
OHP00162888OtherMEDICARE RAILROAD
B71118Medicare UPIN
OHST4118741Medicare PIN