Erez, Eytan
Erez, Eytan is an sole proprietor health care provider with primary practice located at 11422 Holly Fern Ct , San Diego CA 92131-3739. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Erez, Eytan can be contacted via phone (858) 335-5658.Contact Information
Primary practice address
11422 Holly Fern Ct
San Diego CA 92131-3739
Phone: (858) 335-5658
Fax: (858) 578-5759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT21745 | California |
Profile Details
| NPI number | 1215906631 |
|---|---|
| LBN Legal business name | Erez, Eytan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Aug 7th, 2019 - about 7 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 | 1215906631 | NPPES |
| California | Other | PT21745 | LICENSE |
| California | Other | 0PT217450 | LICENSE |
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