Eller, Jerry R

Eller, Jerry R is an individual health care provider with primary practice located at 42 Navins Court , Merritt Island FL 32953. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Eller, Jerry R can be contacted via phone (321) 452-3500.

Contact Information

Primary practice address
42 Navins Court Merritt Island FL 32953
Phone: (321) 452-3500
Fax: (321) 452-4343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH2360 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1334 Florida

Profile Details

NPI number 1013925304
LBN Legal business name Eller, Jerry R
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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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