Lake, Ross
Lake, Ross is an sole proprietor health care provider with primary practice located at 236 S Humboldt St , Willits CA 95490-3514. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Lake, Ross can be contacted via phone (707) 459-2488.Contact Information
Primary practice address
236 S Humboldt St
Willits CA 95490-3514
Phone: (707) 459-2488
Fax: (707) 459-2228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Acupuncturist | 171100000X | AC2909 | California |
Profile Details
NPI number | 1639247034 |
---|---|
LBN Legal business name | Lake, Ross |
Credentials | ROSS LAKE |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 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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