Antolin, Erica
Antolin, Erica is an sole proprietor health care provider with primary practice located at 600 W Santa Ana Blvd 108, Santa Ana CA 92701-4558. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Antolin, Erica can be contacted via phone (714) 667-7926.Contact Information
Primary practice address
600 W Santa Ana Blvd 108
Santa Ana CA 92701-4558
Phone: (714) 667-7926
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1417496779 |
|---|---|
| LBN Legal business name | Antolin, Erica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2017 |
| Last updated | Feb 20th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417496779 | NPPES |
| California | Other | 10227-R | CALIFORNIA ASSOCIATION FOR ALCOHOL/DRUGS EDUCATORS |
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