Modell, Eugene Albert
Modell, Eugene Albert is an sole proprietor health care provider with primary practice located at 1601 Carmen Dr Ste 211, Camarillo CA 93010-3103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Modell, Eugene Albert can be contacted via phone (805) 987-3727.Contact Information
Primary practice address
1601 Carmen Dr Ste 211
Camarillo CA 93010-3103
Phone: (805) 987-3727
Fax: (805) 484-0356
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 5021 | California |
Profile Details
NPI number | 1699859926 |
---|---|
LBN Legal business name | Modell, Eugene Albert |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 24th, 2006 |
Last updated | Oct 26th, 2016 - about 8 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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