Soderstrom, Rebecca A
Soderstrom, Rebecca A is an individual health care provider with primary practice located at 2821 Oceanside Blvd , Oceanside CA 92054-4800. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Soderstrom, Rebecca A can be contacted via phone (760) 721-2781.Contact Information
Primary practice address
2821 Oceanside Blvd
Oceanside CA 92054-4800
Phone: (760) 721-2781
Fax: (760) 721-9571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1417165804 |
|---|---|
| LBN Legal business name | Soderstrom, Rebecca A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| 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 | 1417165804 | NPPES |
| California | Other | B4622901 | DRIVERS LICENSE |
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