Ossome, Shivetti B

Ossome, Shivetti B is an sole proprietor health care provider with primary practice located at 4813 Tegan Rd , Elk Grove CA 95758-5149. She recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Agencies / Home Health is her primary health care specialty. Ossome, Shivetti B can be contacted via phone (916) 427-5613.

Contact Information

Primary practice address
4813 Tegan Rd Elk Grove CA 95758-5149
Phone: (916) 427-5613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X OT 1173 California
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X OT 1173 California
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OT 1173 California
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X OT 1173 California

Profile Details

NPI number 1861638728
LBN Legal business name Ossome, Shivetti B
Credentials MS, OCC. THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 25th, 2008
Last updated Dec 25th, 2008 - about 16 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 1861638728 NPPES
California Other 1710918644 NPI

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