Medina, Eleanor

Medina, Eleanor is an sole proprietor health care provider with primary practice located at 4465 Apple Way , Boulder CO 80301-1748. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Medina, Eleanor can be contacted via phone (503) 754-6246.

Contact Information

Primary practice address
4465 Apple Way Boulder CO 80301-1748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1255103719
LBN Legal business name Medina, Eleanor
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2023
Last updated Oct 26th, 2023 - about 2 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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