Weiland, Ellen H

Weiland, Ellen H is an sole proprietor health care provider with primary practice located at 132 W Main St , Medford OR 97501-2746. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weiland, Ellen H can be contacted via phone (541) 326-8989.

Contact Information

Primary practice address
132 W Main St Medford OR 97501-2746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2150 Oregon

Profile Details

NPI number 1922005693
LBN Legal business name Weiland, Ellen H
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 21st, 2009 - 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 1922005693 NPPES
Oregon Other 99945 JACKSON COUNTY MENTAL HEA
Oregon Other 858186000 JACKSON COUNTY MENTAL HEA
Oregon MEDICAID 181580 JACKSON COUNTY MENTAL HEA
Oregon Other 317191 JACKSON COUNTY MENTAL HEA
Oregon Other J6586 JACKSON COUNTY MENTAL HEA

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