Ellington, Bret James
Ellington, Bret James is an sole proprietor health care provider with primary practice located at 22762 Aspan St Suite 201, Lake Forest CA 92630-1604. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Ellington, Bret James can be contacted via phone (949) 235-9494.Contact Information
Primary practice address
22762 Aspan St Suite 201
Lake Forest CA 92630-1604
Phone: (949) 235-9494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC 11948 | California |
Profile Details
| NPI number | 1033390513 |
|---|---|
| LBN Legal business name | Ellington, Bret James |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2007 |
| Last updated | Feb 27th, 2014 - about 12 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 | 1033390513 | NPPES |
| California | Other | AC11948 | MEDICARE P-TAN # |
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