Eilken, Dylan Thomas

Eilken, Dylan Thomas is an sole proprietor health care provider with primary practice located at 1230 N Marengo Ave , Pasadena CA 91103-2217. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Eilken, Dylan Thomas can be contacted via phone (626) 797-1124.

Contact Information

Primary practice address
1230 N Marengo Ave Pasadena CA 91103-2217
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1523050823 California
Other Service Providers / Peer Specialist 175T00000X MPSS-GKTBSF California

Profile Details

NPI number 1265218762
LBN Legal business name Eilken, Dylan Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2023
Last updated Oct 16th, 2024 - about 2 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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