Kania, Marissa Elaine
Kania, Marissa Elaine is an individual health care provider with primary practice located at 10535 Hospital Way , Mather CA 95655-4200. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kania, Marissa Elaine can be contacted via phone (650) 709-9599.Contact Information
Primary practice address
10535 Hospital Way
Mather CA 95655-4200
Phone: (650) 709-9599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 102280 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | RACSW79312 | California |
Profile Details
| NPI number | 1275173643 |
|---|---|
| LBN Legal business name | Kania, Marissa Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2020 |
| Last updated | Oct 19th, 2022 - about 4 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 | 1275173643 | NPPES |
| California | Other | NONEPROVIDED | VA GOVERNMENT |
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