O'Hagan, Cevin Jordan White

O'Hagan, Cevin Jordan White is an individual health care provider with primary practice located at 303 Potrero St Ste 304 , Santa Cruz CA 95060-2741. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. O'Hagan, Cevin Jordan White can be contacted via phone (831) 420-0120.

Contact Information

Primary practice address
303 Potrero St Ste 304 Santa Cruz CA 95060-2741
Phone: (831) 420-0120
Fax: (831) 420-1057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 33563 California

Profile Details

NPI number 1730318114
LBN Legal business name O'Hagan, Cevin Jordan White
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Jul 8th, 2009 - about 15 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 1730318114 NPPES
California Other 44AV MEDI-CAL PRV NBR

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