Rafferty, Jeiel

Rafferty, Jeiel is an sole proprietor health care provider with primary practice located at 11140 Richmont Rd , Loma Linda CA 92354-2917. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Rafferty, Jeiel can be contacted via phone (541) 521-0930.

Contact Information

Primary practice address
11140 Richmont Rd Loma Linda CA 92354-2917
Phone: (541) 521-0930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 48081 California

Profile Details

NPI number 1083168926
LBN Legal business name Rafferty, Jeiel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2016
Last updated Aug 9th, 2016 - about 9 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 1083168926 NPPES
California Other 48081 CALIFORNIA PHYSICAL THERAPY BOARD

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