Ellington, Bret James

Ellington, Bret James is an sole proprietor health care provider with primary practice located at 22762 Aspan St Suite 201, Lake Forest CA 92630-1604. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Ellington, Bret James can be contacted via phone (949) 235-9494.

Contact Information

Primary practice address
22762 Aspan St Suite 201 Lake Forest CA 92630-1604
Phone: (949) 235-9494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 11948 California

Profile Details

NPI number 1033390513
LBN Legal business name Ellington, Bret James
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2007
Last updated Feb 27th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033390513 NPPES
California Other AC11948 MEDICARE P-TAN #

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