Albert, Eva Lenore
Albert, Eva Lenore is an sole proprietor health care provider with primary practice located at 2621 Whittle Ave Ste 6 , Medford OR 97504-4719. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Albert, Eva Lenore can be contacted via phone (541) 778-2341.Contact Information
Primary practice address
2621 Whittle Ave Ste 6
Medford OR 97504-4719
Phone: (541) 778-2341
Fax: (541) 702-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L10960 | Oregon |
Profile Details
| NPI number | 1649653411 |
|---|---|
| LBN Legal business name | Albert, Eva Lenore |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2015 |
| Last updated | Jun 26th, 2023 - about last year |
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 | 1649653411 | NPPES |
| Oregon | MEDICAID | 500700653 |
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