Everett, Rebecca La Dine
Everett, Rebecca La Dine is an individual health care provider with primary practice located at 146 Gettle Road, St. 1 , Averill Park NY 12018. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Everett, Rebecca La Dine can be contacted via phone (518) 674-7020.Contact Information
Primary practice address
146 Gettle Road, St. 1
Averill Park NY 12018
Phone: (518) 674-7020
Fax: (518) 674-7052
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / School | 163WS0200X | 411152-1 | New York |
Profile Details
NPI number | 1427328616 |
---|---|
LBN Legal business name | Everett, Rebecca La Dine |
Credentials | BSRN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2012 |
Last updated | Jan 5th, 2012 - about 12 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 | 1427328616 | NPPES |
New York | MEDICAID | 1379024 |
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