Carmichael, Elizabeth Amanda

Carmichael, Elizabeth Amanda is an individual 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 / Peer Specialist, which is considered as her primary health care specialty. Carmichael, Elizabeth Amanda can be contacted via phone (951) 955-7374.

Contact Information

Primary practice address
2085 Rustin Ave Riverside CA 92507-2498
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1427522531
LBN Legal business name Carmichael, Elizabeth Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2019
Last updated Jun 11th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427522531 NPPES
California Other 1730515032 RIVERSIDE UNIVERSITY HEALTH SYSTEM - BEHAVIORAL HEALTH

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