Modell, Eugene Albert
Modell, Eugene Albert is an sole proprietor health care provider with primary practice located at 1601 Carmen Dr Ste 211, Camarillo CA 93010-3103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Modell, Eugene Albert can be contacted via phone (805) 987-3727.Contact Information
Primary practice address
1601 Carmen Dr Ste 211
Camarillo CA 93010-3103
Phone: (805) 987-3727
Fax: (805) 484-0356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 5021 | California |
Profile Details
| NPI number | 1699859926 |
|---|---|
| LBN Legal business name | Modell, Eugene Albert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Oct 26th, 2016 - about 10 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.
Popular Providers
-
Elyashkevich, Maya
1722 S Lewis Rd , Camarillo CA 93012-8520 -
Bergenstal, Karl William
1601 Carmen Dr Suite 111, Camarillo CA 93010-3105 -
Grahm, John L.
360 Mobil Ave 211D, Camarillo CA 93010-6325 -
Gallan, Arlene Georgia
1601 Carmen Dr Ste 211 , Camarillo CA 93010-3103 -
Johnstone, Stacy Hall
340 Rosewood Ave Suite G, Camarillo CA 93010-5927 -
Sandford, Donna M.
1722 S Lewis Rd , Camarillo CA 93012 -
Fisher, Pamela
1722 S Lewis Rd , Camarillo CA 93012-8520 -
Schneider, Jessica Layne
1722 S Lewis Rd , Camarillo CA 93012-8520