Reddin, Correan

Reddin, Correan is an sole proprietor health care provider with primary practice located at 725 Parque Dr , Ormond Beach FL 32174-7585. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Reddin, Correan can be contacted via phone (386) 671-1469.

Contact Information

Primary practice address
725 Parque Dr Ormond Beach FL 32174-7585
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 6905355 Florida

Profile Details

NPI number 1154751550
LBN Legal business name Reddin, Correan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2013
Last updated Nov 21st, 2013 - about 11 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 1154751550 NPPES
Florida MEDICAID 141566200

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