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
Fax: (707) 459-2228
Website:

Health care specialties

SpecialtyCodeLicense #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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