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
Phone: (386) 671-1469
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1154751550 | NPPES |
| Florida | MEDICAID | 141566200 |
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