Hurtado, Elie
Hurtado, Elie is an individual health care provider with primary practice located at 572 N Arrowhead Ave , San Bernardino CA 92401-1251. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Hurtado, Elie can be contacted via phone (408) 364-4004.Contact Information
Primary practice address
572 N Arrowhead Ave
San Bernardino CA 92401-1251
Phone: (408) 364-4004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1104950567 |
|---|---|
| LBN Legal business name | Hurtado, Elie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Nov 1st, 2023 - about 3 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 | 1104950567 | NPPES |
| California | Other | ICAN760 | LADMH STAFF CODE |
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