Correll, Rebecca
Correll, Rebecca is an sole proprietor health care provider with primary practice located at 261 E Willow St Ste C , Long Beach CA 90806-2637. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Correll, Rebecca can be contacted via phone (562) 735-6131.Contact Information
Primary practice address
261 E Willow St Ste C
Long Beach CA 90806-2637
Phone: (562) 735-6131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 95066169 | California |
Profile Details
| NPI number | 1720451107 |
|---|---|
| LBN Legal business name | Correll, Rebecca |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2015 |
| Last updated | Nov 5th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720451107 | NPPES |
| California | Other | 33-0150193 | MEDI-CAL |
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