Leaf, Ellen Brackett
Leaf, Ellen Brackett is an individual health care provider with primary practice located at 190 W 25Th Ave , San Mateo CA 94403-2298. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Leaf, Ellen Brackett can be contacted via phone (650) 345-1991.Contact Information
Primary practice address
190 W 25Th Ave
San Mateo CA 94403-2298
Phone: (650) 345-1991
Fax: (650) 345-1307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 32869 | California |
Profile Details
| NPI number | 1992701957 |
|---|---|
| LBN Legal business name | Leaf, Ellen Brackett |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| 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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