Riseman, Rebecca

Riseman, Rebecca is an individual health care provider with primary practice located at 5915 Hollis St Ste B , Emeryville CA 94608-2066. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Riseman, Rebecca can be contacted via phone (510) 286-8160.

Contact Information

Primary practice address
5915 Hollis St Ste B Emeryville CA 94608-2066
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11812 California

Profile Details

NPI number 1205828704
LBN Legal business name Riseman, Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 9th, 2023 - about 3 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 1205828704 NPPES
California MEDICAID 0RN5466890

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