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
Fax: (518) 674-7052
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427328616 NPPES
New York MEDICAID 1379024

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