Ellis, Glen Stephen
Ellis, Glen Stephen is an individual health care provider with primary practice located at 3553 Castro Valley Blvd Suite B, Castro Valley CA 94546-4400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ellis, Glen Stephen can be contacted via phone (510) 537-1210.Contact Information
Primary practice address
3553 Castro Valley Blvd Suite B
Castro Valley CA 94546-4400
Phone: (510) 537-1210
Fax: (510) 537-1082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1023156130 |
|---|---|
| LBN Legal business name | Ellis, Glen Stephen |
| Credentials | C.P.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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