Wiedeman, Rachelle Lynn

Wiedeman, Rachelle Lynn is an sole proprietor health care provider with primary practice located at 83912 Avenue 45 Ste B , Indio CA 92201-3338. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wiedeman, Rachelle Lynn can be contacted via phone (760) 262-8921.

Contact Information

Primary practice address
83912 Avenue 45 Ste B Indio CA 92201-3338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-W0708021221 California

Profile Details

NPI number 1194916221
LBN Legal business name Wiedeman, Rachelle Lynn
Credentials RASI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 2007 - about 18 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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