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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720451107 NPPES
California Other 33-0150193 MEDI-CAL

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