Eagatatt, Tommy Petch

Eagatatt, Tommy Petch is an individual health care provider with primary practice located at 301 Victoria St , Costa Mesa CA 92627-7131. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Eagatatt, Tommy Petch can be contacted via phone (949) 574-3365.

Contact Information

Primary practice address
301 Victoria St Costa Mesa CA 92627-7131
Phone: (949) 574-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95231640 California

Profile Details

NPI number 1306699418
LBN Legal business name Eagatatt, Tommy Petch
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2024
Last updated Apr 9th, 2024 - 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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