Joern, Raegan

Joern, Raegan is an individual health care provider with primary practice located at 101 Broadway , Richmond CA 94804-1945. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Joern, Raegan can be contacted via phone (510) 620-1163.

Contact Information

Primary practice address
101 Broadway Richmond CA 94804-1945
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1235403825
LBN Legal business name Joern, Raegan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2012
Last updated Feb 29th, 2012 - about 14 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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