Rivera, Elli M

Rivera, Elli M is an sole proprietor health care provider with primary practice located at 1 Saint Vincents Dr , San Rafael CA 94903-1504. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Rivera, Elli M can be contacted via phone (415) 507-2000.

Contact Information

Primary practice address
1 Saint Vincents Dr San Rafael CA 94903-1504
Phone: (415) 507-2000
Fax: (415) 507-4381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1912303595
LBN Legal business name Rivera, Elli M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2014
Last updated Mar 7th, 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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