Parker, Roxanne Paulette
Parker, Roxanne Paulette is an sole proprietor health care provider with primary practice located at 6154 Mission Gorge Rd 120, San Diego CA 92120-3493. She recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as her primary health care specialty. Parker, Roxanne Paulette can be contacted via phone (619) 285-1718.Contact Information
Primary practice address
6154 Mission Gorge Rd 120
San Diego CA 92120-3493
Phone: (619) 285-1718
Fax: (619) 285-3803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 261QR0405X | California |
Profile Details
| NPI number | 1457522666 |
|---|---|
| LBN Legal business name | Parker, Roxanne Paulette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2008 |
| Last updated | Mar 14th, 2008 - 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 | 1457522666 | NPPES |
| California | MEDICAID | 37AL |
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