Lane, Annette
Lane, Annette is an individual health care provider with primary practice located at 10943 W. Coolidge , Phoenix AZ 85037-7532. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Lane, Annette can be contacted via phone (602) 595-9826.Contact Information
Primary practice address
10943 W. Coolidge
Phoenix AZ 85037-7532
Phone: (602) 595-9826
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | 8498 | Arizona |
Profile Details
NPI number | 1679627756 |
---|---|
LBN Legal business name | Lane, Annette |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2007 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679627756 | NPPES |
Arizona | MEDICAID | 848351 |
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