Whitehead, Michelle Renae

Whitehead, Michelle Renae is an individual health care provider with primary practice located at 4700 College Oak Dr , Sacramento CA 95841-4217. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Whitehead, Michelle Renae can be contacted via phone (916) 484-8976.

Contact Information

Primary practice address
4700 College Oak Dr Sacramento CA 95841-4217
Phone: (916) 484-8976
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1023555679
LBN Legal business name Whitehead, Michelle Renae
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2017
Last updated Jan 20th, 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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