Wise-Andrews, Edith Elizabeth

Wise-Andrews, Edith Elizabeth is an individual health care provider with primary practice located at 860 N Bush St , Ukiah CA 95482-3919. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wise-Andrews, Edith Elizabeth can be contacted via phone (707) 463-4303.

Contact Information

Primary practice address
860 N Bush St Ukiah CA 95482-3919
Phone: (707) 463-4303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 2660-T California

Profile Details

NPI number 1649328022
LBN Legal business name Wise-Andrews, Edith Elizabeth
Credentials RTC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649328022 NPPES
California Other 2660-T RECREATION THERAPY CERTIF

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