Crummett, Imelda R

Crummett, Imelda R is an sole proprietor health care provider with primary practice located at 218 Ogle Ave , Rio Dell CA 95562-1013. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Crummett, Imelda R can be contacted via phone (707) 764-5089.

Contact Information

Primary practice address
218 Ogle Ave Rio Dell CA 95562-1013
Phone: (707) 764-5089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN135430 California

Profile Details

NPI number 1801934666
LBN Legal business name Crummett, Imelda R
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1801934666 NPPES
California Other RVN001000 RVN
California Other EPS012410 RVN

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