Van Eck, Ellen R

Van Eck, Ellen R is an sole proprietor health care provider with primary practice located at 5015 Birch Street , Newport Beach CA 92660-2162. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Van Eck, Ellen R can be contacted via phone (949) 887-4166.

Contact Information

Primary practice address
5015 Birch Street Newport Beach CA 92660-2162
Phone: (949) 887-4166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 21511 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 21511 California

Profile Details

NPI number 1528259553
LBN Legal business name Van Eck, Ellen R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Sep 5th, 2019 - about 6 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 1528259553 NPPES
California Other 21511 LICENSE

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