Ketelsen, Erik Christian

Ketelsen, Erik Christian is an sole proprietor health care provider with primary practice located at 4653 Dock Rd Bldg 524, Port Hueneme CA 93043-4321. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Ketelsen, Erik Christian can be contacted via phone (619) 534-7920.

Contact Information

Primary practice address
4653 Dock Rd Bldg 524 Port Hueneme CA 93043-4321
Phone: (619) 534-7920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1093043051
LBN Legal business name Ketelsen, Erik Christian
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2009
Last updated Dec 1st, 2009 - about 16 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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