Carrillo, Elena

Carrillo, Elena is an individual health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Carrillo, Elena can be contacted via phone (209) 525-5079.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 525-5079
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1740304765
LBN Legal business name Carrillo, Elena
Credentials BHS II
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740304765 NPPES
California Other 171M00000X CASE MANAGER

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