Van Etten, Todd

Van Etten, Todd is an sole proprietor health care provider with primary practice located at 26318 Misty Gln , Lake Forest CA 92630-7249. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Van Etten, Todd can be contacted via phone (949) 202-8905.

Contact Information

Primary practice address
26318 Misty Gln Lake Forest CA 92630-7249
Phone: (949) 202-8905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 9605 California

Profile Details

NPI number 1033500178
LBN Legal business name Van Etten, Todd
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2015
Last updated Feb 11th, 2015 - about 10 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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