Shively, Leony
Shively, Leony is an sole proprietor health care provider with primary practice located at 2085 Rustin Ave , Riverside CA 92507-2498. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Shively, Leony can be contacted via phone (951) 463-1004.Contact Information
Primary practice address
2085 Rustin Ave
Riverside CA 92507-2498
Phone: (951) 463-1004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1538545421 |
|---|---|
| LBN Legal business name | Shively, Leony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2015 |
| Last updated | May 29th, 2024 - about 2 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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