Eller, Kent C
Eller, Kent C is an individual health care provider with primary practice located at 1080 Marina Village Pkwy Ste 100 , Alameda CA 94501-1078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Eller, Kent C can be contacted via phone (103) 377-9505.Contact Information
Primary practice address
1080 Marina Village Pkwy Ste 100
Alameda CA 94501-1078
Phone: (103) 377-9505
Fax: (602) 685-3808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 33041 | Arizona |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C142177 | California |
Profile Details
| NPI number | 1235186313 |
|---|---|
| LBN Legal business name | Eller, Kent C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Oct 8th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235186313 | NPPES |
| Arizona | MEDICAID | 875437 |
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