Rivera, Edna S.
Rivera, Edna S. is an individual health care provider with primary practice located at 3900 Lakeville Hwy , Petaluma CA 94954-5698. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rivera, Edna S. can be contacted via phone (707) 765-3900.Contact Information
Primary practice address
3900 Lakeville Hwy
Petaluma CA 94954-5698
Phone: (707) 765-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A39821 | California |
Profile Details
| NPI number | 1184796922 |
|---|---|
| LBN Legal business name | Rivera, Edna S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1184796922 | NPPES |
| California | MEDICAID | 00A398210 |
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