Retallick, Anne C
Retallick, Anne C is an sole proprietor health care provider with primary practice located at 1 Madrone St Frank Howard Memorial Hospital, Willits CA 95490-4225. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Retallick, Anne C can be contacted via phone (707) 459-6801.Contact Information
Primary practice address
1 Madrone St Frank Howard Memorial Hospital
Willits CA 95490-4225
Phone: (707) 459-6801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 358288 10493 | California |
Profile Details
| NPI number | 1144315730 |
|---|---|
| LBN Legal business name | Retallick, Anne C |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 9th, 2007 - 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 | 1144315730 | NPPES |
| California | Other | 10493 | RN NP FURNISHING |
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