Ullom, Robert Stephen

Ullom, Robert Stephen is an sole proprietor health care provider with primary practice located at 145 Bost Ave , Nevada City CA 95959-3249. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ullom, Robert Stephen can be contacted via phone (530) 265-9045.

Contact Information

Primary practice address
145 Bost Ave Nevada City CA 95959-3249
Phone: (530) 265-9045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1164749222
LBN Legal business name Ullom, Robert Stephen
Credentials CASI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2010
Last updated Apr 29th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164749222 NPPES
California Other 9442 CAARR

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