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
Phone: (626) 797-1124
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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