Ward, Raven Alannah
Ward, Raven Alannah is an sole proprietor health care provider with primary practice located at 45111 Fern Ave , Lancaster CA 93534-2301. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ward, Raven Alannah can be contacted via phone (661) 949-1206.Contact Information
Primary practice address
45111 Fern Ave
Lancaster CA 93534-2301
Phone: (661) 949-1206
Fax: (661) 940-5452
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 16222 | California |
Profile Details
NPI number | 1831734227 |
---|---|
LBN Legal business name | Ward, Raven Alannah |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 9th, 2019 |
Last updated | Apr 2nd, 2024 - about 7 months 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 | 1831734227 | NPPES |
California | Other | 95-2633765 | MEDI-CAL |
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