Ewell, Eric William

Ewell, Eric William is an sole proprietor health care provider with primary practice located at 6724 Coleen Ln , San Bernardino CA 92407-1916. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ewell, Eric William can be contacted via phone (909) 754-7789.

Contact Information

Primary practice address
6724 Coleen Ln San Bernardino CA 92407-1916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS19702 California

Profile Details

NPI number 1104170364
LBN Legal business name Ewell, Eric William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2012
Last updated Nov 8th, 2012 - about 14 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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