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
Phone: (760) 245-9446
Fax: (760) 751-8986
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871790196 | NPPES |
California | Other | 5804 | SIMON STAFF NUMBER |
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