Christie, Laverne
Christie, Laverne is an individual health care provider with primary practice located at 15791 Bear Valley Rd , Hesperia CA 92345-1746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Christie, Laverne can be contacted via phone (760) 949-1231.Contact Information
Primary practice address
15791 Bear Valley Rd
Hesperia CA 92345-1746
Phone: (760) 949-1231
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA14140 | California |
Profile Details
NPI number | 1881762433 |
---|---|
LBN Legal business name | Christie, Laverne |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1881762433 | NPPES |
California | Other | C6526883 | DRIVERS LICENSE |
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