Cantrell, Alyssa
Cantrell, Alyssa is an individual health care provider with primary practice located at 9620 Chesapeake Dr Ste 105 , San Diego CA 92123-1324. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Cantrell, Alyssa can be contacted via phone (858) 505-9083.Contact Information
Primary practice address
9620 Chesapeake Dr Ste 105
San Diego CA 92123-1324
Phone: (858) 505-9083
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1184389264 |
|---|---|
| LBN Legal business name | Cantrell, Alyssa |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2021 |
| Last updated | Oct 24th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184389264 | NPPES |
| California | Other | 1871655225 | PRIVATE INSURANCE |
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