Reardon, Jeannette
Reardon, Jeannette is an individual health care provider with primary practice located at 216 W Los Angeles Dr , Vista CA 92083-3101. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Reardon, Jeannette can be contacted via phone (760) 630-4065.Contact Information
Primary practice address
216 W Los Angeles Dr
Vista CA 92083-3101
Phone: (760) 630-4065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1801373865 |
|---|---|
| LBN Legal business name | Reardon, Jeannette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2018 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801373865 | NPPES |
| California | MEDICAID | 1336201490 |
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