Ennis, Pamela

Ennis, Pamela is an sole proprietor health care provider with primary practice located at 11315 Atlantic Ave , Lynwood CA 90262-3007. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ennis, Pamela can be contacted via phone (310) 537-5883.

Contact Information

Primary practice address
11315 Atlantic Ave Lynwood CA 90262-3007
Phone: (310) 537-5883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1093967655
LBN Legal business name Ennis, Pamela
Credentials CATC - IV - 167423IV
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2008
Last updated Jun 8th, 2017 - about 7 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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