Everitt, Cheryl Marie

Everitt, Cheryl Marie is an individual health care provider with primary practice located at 7379 Indiana Ave Suite 101, Riverside CA 92504-4547. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Everitt, Cheryl Marie can be contacted via phone (951) 684-7822.

Contact Information

Primary practice address
7379 Indiana Ave Suite 101 Riverside CA 92504-4547
Phone: (951) 684-7822
Fax: (951) 977-8075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10316T California

Profile Details

NPI number 1164579918
LBN Legal business name Everitt, Cheryl Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 13th, 2016 - about 8 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 1164579918 NPPES
California Other CD249A MEDICARE GROUP PTAN
California MEDICAID SD0103160 MEDICARE GROUP PTAN

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