Everly, William W

Everly, William W is an sole proprietor health care provider with primary practice located at 30051 Swan Point Dr , Canyon Lake CA 92587-7407. He recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is his primary health care specialty. Everly, William W can be contacted via phone (949) 212-8851.

Contact Information

Primary practice address
30051 Swan Point Dr Canyon Lake CA 92587-7407
Phone: (949) 212-8851
Fax: (949) 481-3197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 002919919 California
Nursing Service Related Providers / Home Health Aide 374U00000X 002919919 California

Profile Details

NPI number 1659078582
LBN Legal business name Everly, William W
Credentials CARE PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2023
Last updated Feb 10th, 2023 - about 3 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 1659078582 NPPES
California MEDICAID 002919919

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