Colvin, Cassandra R

Colvin, Cassandra R is an individual health care provider with primary practice located at 11224 Huntingride Cir , Santee CA 92071-4732. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Colvin, Cassandra R can be contacted via phone (619) 396-8919.

Contact Information

Primary practice address
11224 Huntingride Cir Santee CA 92071-4732
Phone: (619) 396-8919
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1013499771
LBN Legal business name Colvin, Cassandra R
Credentials RADT-1
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2018
Last updated Feb 7th, 2020 - about 5 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 1013499771 NPPES
California Other D3960130 DRIVER LICENSE

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