Nainggolan, Dannie

Nainggolan, Dannie is an individual health care provider with primary practice located at 17270 Roosevelt St , Riverside CA 92508-9523. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Nainggolan, Dannie can be contacted via phone (951) 780-2514.

Contact Information

Primary practice address
17270 Roosevelt St Riverside CA 92508-9523
Phone: (951) 780-2514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X

Profile Details

NPI number 1174388375
LBN Legal business name Nainggolan, Dannie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2024
Last updated Jul 30th, 2025 - about last year

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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