Erez, Eytan

Erez, Eytan is an sole proprietor health care provider with primary practice located at 11422 Holly Fern Ct , San Diego CA 92131-3739. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Erez, Eytan can be contacted via phone (858) 335-5658.

Contact Information

Primary practice address
11422 Holly Fern Ct San Diego CA 92131-3739
Fax: (858) 578-5759
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT21745 California

Profile Details

NPI number 1215906631
LBN Legal business name Erez, Eytan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Aug 7th, 2019 - about 5 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 1215906631 NPPES
California Other PT21745 LICENSE
California Other 0PT217450 LICENSE

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