Rocco, Tasha Nichole

Rocco, Tasha Nichole is an individual health care provider with primary practice located at 1053 N D St , San Bernardino CA 92410-3521. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Rocco, Tasha Nichole can be contacted via phone (909) 763-5500.

Contact Information

Primary practice address
1053 N D St San Bernardino CA 92410-3521
Phone: (909) 763-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245405059
LBN Legal business name Rocco, Tasha Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Oct 16th, 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 1245405059 NPPES
California MEDICAID 7006

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