Cordaway, Joy Helene

Cordaway, Joy Helene is an sole proprietor health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Cordaway, Joy Helene can be contacted via phone (209) 561-4484.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 561-4484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 41020 California

Profile Details

NPI number 1316574098
LBN Legal business name Cordaway, Joy Helene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2020
Last updated Mar 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316574098 NPPES
California MEDICAID 167G00000X

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