Abercrombie, Ethan

Abercrombie, Ethan is an sole proprietor health care provider with primary practice located at 14005 Spyglass Cir , Chowchilla CA 93610-7903. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Abercrombie, Ethan can be contacted via phone (559) 201-9452.

Contact Information

Primary practice address
14005 Spyglass Cir Chowchilla CA 93610-7903
Phone: (559) 201-9452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 21994 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1236 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3951 Arizona

Profile Details

NPI number 1245660281
LBN Legal business name Abercrombie, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2013
Last updated Nov 12th, 2013 - about 11 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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