Gastelum, Eliseo
Gastelum, Eliseo is an individual health care provider with primary practice located at 1745 Enterprise Dr Bldg 2 Suite I-64, Fairfield CA 94533-5801. 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. Gastelum, Eliseo can be contacted via phone (707) 427-6640.Contact Information
Primary practice address
1745 Enterprise Dr Bldg 2 Suite I-64
Fairfield CA 94533-5801
Phone: (707) 427-6640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1528122975 |
|---|---|
| LBN Legal business name | Gastelum, Eliseo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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