Collins, Lacresha Elie
Collins, Lacresha Elie is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Collins, Lacresha Elie can be contacted via phone (323) 344-5536.Contact Information
Primary practice address
205 Pasadena Ave
South Pasadena CA 91030-2919
Phone: (323) 344-5536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1336656974 |
|---|---|
| LBN Legal business name | Collins, Lacresha Elie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2018 |
| Last updated | Jan 4th, 2018 - about 7 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 | 1336656974 | NPPES |
| California | Other | 7368 | MEDI-CAL |
| California | Other | 7667 | MEDI-CAL |
| California | Other | 7184 | MEDI-CAL |
| California | Other | 7708 | MEDI-CAL |
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