Dyson, Rebecca Lucy
Dyson, Rebecca Lucy is an sole proprietor health care provider with primary practice located at 914 Pine St , Mount Shasta CA 96067-2143. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Dyson, Rebecca Lucy can be contacted via phone (553) 092-6932.Contact Information
Primary practice address
914 Pine St
Mount Shasta CA 96067-2143
Phone: (553) 092-6932
Fax: (530) 926-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | G79894 | California |
Profile Details
| NPI number | 1922003961 |
|---|---|
| LBN Legal business name | Dyson, Rebecca Lucy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Oct 4th, 2017 - about 9 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 | 1922003961 | NPPES |
| California | MEDICAID | 00G798940 |
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