Redick, Elizabeth L.

Redick, Elizabeth L. is an individual health care provider with primary practice located at 990 Sonoma Ave Ste. 20 &21, Santa Rosa CA 95404-4802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Redick, Elizabeth L. can be contacted via phone (707) 525-0696.

Contact Information

Primary practice address
990 Sonoma Ave Ste. 20 &21 Santa Rosa CA 95404-4802
Phone: (707) 525-0696
Fax: (707) 525-8404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10702 California

Profile Details

NPI number 1255377008
LBN Legal business name Redick, Elizabeth L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Sep 15th, 2017 - about 9 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 1255377008 NPPES
California Other PA10702 CA LINC #

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