Ellis, Hjordis

Ellis, Hjordis is an individual health care provider with primary practice located at 15447 Anacapa Rd Suite 104, Victorville CA 92392-2481. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ellis, Hjordis can be contacted via phone (760) 245-9446.

Contact Information

Primary practice address
15447 Anacapa Rd Suite 104 Victorville CA 92392-2481
Fax: (760) 751-8986
Website:

Health care specialties

Profile Details

NPI number 1871790196
LBN Legal business name Ellis, Hjordis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871790196 NPPES
California Other 5804 SIMON STAFF NUMBER

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