Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rebecca A. Van Dolah, MPAS

Individual provider Athletic Trainer · NPI 1700842721

Rebecca A. Van Dolah, MPAS is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2013, 13 years ago. Practices with Bristol Hospital Multi Specialty Group, Inc, a 156-clinician group and accepts Medicare assignment. Licensed in Connecticut and New Hampshire.

Years since qualifying
13
Licensed in
CT, NH
In the registry since
2006
Specialties on file
3

Practice location Address checks out

17 Alice Peck Day Dr Unit C
Lebanon, NH 03766-2684
Phone: (603) 448-6344
Fax: (603) 448-3405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0947 (NH)
Athletic Trainer Taxonomy 2255A2300X · Licence 189 (NH)
Physician Assistant Taxonomy 363A00000X · Licence 6026 (CT)

Record details

NPI number1700842721
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESMay 7, 2023
Certification dateMay 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Bristol Hospital Multi Specialty Group, Inc. — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lebanon