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
Phone: (510) 286-8160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205828704 | NPPES |
| California | MEDICAID | 0RN5466890 |
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