Eckert Smith, Elijah

Eckert Smith, Elijah is an individual health care provider with primary practice located at 1756 S Lewis Rd , Camarillo CA 93012-8520. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Eckert Smith, Elijah can be contacted via phone (805) 383-3669.

Contact Information

Primary practice address
1756 S Lewis Rd Camarillo CA 93012-8520
Fax: (805) 383-3692
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1831439918
LBN Legal business name Eckert Smith, Elijah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2013
Last updated Feb 26th, 2013 - about 13 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 1831439918 NPPES
California Other 174400000X REHAB ACTIVITY LEADER

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