Egan, Debra Jane

Egan, Debra Jane is an sole proprietor health care provider with primary practice located at 1627 Shire Ave , Oceanside CA 92057-5718. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Egan, Debra Jane can be contacted via phone (228) 265-0740.

Contact Information

Primary practice address
1627 Shire Ave Oceanside CA 92057-5718
Phone: (228) 265-0740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 2645579 California
Nursing Service Providers / Lactation Consultant 163WL0100X 264579 California

Profile Details

NPI number 1679130041
LBN Legal business name Egan, Debra Jane
Credentials RN, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2019
Last updated May 21st, 2019 - 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 1679130041 NPPES
Other NA TRICARE

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