Carbajal, Renee Marie
Carbajal, Renee Marie is an sole proprietor health care provider with primary practice located at 1320 W Kimberly St Apt # 230, Tucson AZ 85704-2303. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Carbajal, Renee Marie can be contacted via phone (520) 289-9166.Contact Information
Primary practice address
1320 W Kimberly St Apt # 230
Tucson AZ 85704-2303
Phone: (520) 289-9166
Fax: (520) 296-8244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 2993258 | Arizona |
Profile Details
| NPI number | 1396030904 |
|---|---|
| LBN Legal business name | Carbajal, Renee Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2011 |
| Last updated | Jun 10th, 2011 - about 13 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 | 1396030904 | NPPES |
| Arizona | Other | 2993258 | OLCR FOSTER CARE LICENSE |
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