Fawl, Ellen Mary

Fawl, Ellen Mary is an individual health care provider with primary practice located at 9024 Sniktaw Ln , Fort Jones CA 96032-9408. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fawl, Ellen Mary can be contacted via phone (530) 468-4470.

Contact Information

Primary practice address
9024 Sniktaw Ln Fort Jones CA 96032-9408
Fax: (530) 468-5908
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDH16873 California

Profile Details

NPI number 1316620990
LBN Legal business name Fawl, Ellen Mary
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2023
Last updated Aug 9th, 2023 - about last year

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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