Machain, Debra Dawn
Machain, Debra Dawn is an sole proprietor health care provider with primary practice located at 623 Everitt Memorial Hwy , Mount Shasta CA 96067-2014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Machain, Debra Dawn can be contacted via phone (530) 925-2797.Contact Information
Primary practice address
623 Everitt Memorial Hwy
Mount Shasta CA 96067-2014
Phone: (530) 925-2797
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1756 | California |
Profile Details
NPI number | 1225245905 |
---|---|
LBN Legal business name | Machain, Debra Dawn |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 16th, 2007 |
Last updated | Jul 8th, 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 | 1225245905 | NPPES |
California | MEDICAID | 8146135 |
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