Zaitona, Raynel
Zaitona, Raynel is an sole proprietor health care provider with primary practice located at 1200 W State St , Rockford IL 61102-2112. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Zaitona, Raynel can be contacted via phone (815) 490-1600.Contact Information
Primary practice address
1200 W State St
Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1962176552 |
|---|---|
| LBN Legal business name | Zaitona, Raynel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2021 |
| Last updated | Nov 29th, 2021 - about 3 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 | 1962176552 | NPPES |
| Illinois | MEDICAID | UNSURE |
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