Izett, Christin Danae

Izett, Christin Danae is an individual health care provider with primary practice located at 104 Walnut Ave Ste 208, Santa Cruz CA 95060-3900. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Izett, Christin Danae can be contacted via phone (831) 423-9444.

Contact Information

Primary practice address
104 Walnut Ave Ste 208 Santa Cruz CA 95060-3900
Phone: (831) 423-9444
Fax: (831) 423-1532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X IMF 58479 California

Profile Details

NPI number 1437390978
LBN Legal business name Izett, Christin Danae
Credentials IMF
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2009
Last updated Mar 12th, 2009 - about 17 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 1437390978 NPPES
California Other IMF 58479 IMF

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