Garrett, Virginia Ellen
Garrett, Virginia Ellen is an sole proprietor health care provider with primary practice located at 3737 Mccray St , Riverside CA 92506-2928. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is her primary health care specialty. Garrett, Virginia Ellen can be contacted via phone (951) 823-0266.Contact Information
Primary practice address
3737 Mccray St
Riverside CA 92506-2928
Phone: (951) 823-0266
Fax: (951) 823-0266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | G45812 | California |
| Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine | 2081P0004X | G45812 | California |
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | G45812 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | G45812 | California |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35-049101 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 35-049101 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 35-049101 | Ohio |
| Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine | 2081P0004X | 35-049101 | Ohio |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2081N0008X | 35-049101 | Ohio |
Profile Details
| NPI number | 1326193624 |
|---|---|
| LBN Legal business name | Garrett, Virginia Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Dec 12th, 2013 - about 13 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 | 1326193624 | NPPES |
| Ohio | MEDICAID | 35-049101 | |
| Ohio | MEDICAID | 0653163 |
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