Thacker, Eloise Catherine
Thacker, Eloise Catherine is an sole proprietor health care provider with primary practice located at 355 E 21St St , San Bernardino CA 92404-4824. She recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as her primary health care specialty. Thacker, Eloise Catherine can be contacted via phone (909) 882-0193.Contact Information
Primary practice address
355 E 21St St
San Bernardino CA 92404-4824
Phone: (909) 882-0193
Fax: (909) 883-4834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | C70773 | California |
Profile Details
| NPI number | 1730914458 |
|---|---|
| LBN Legal business name | Thacker, Eloise Catherine |
| Credentials | C70773 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2024 |
| Last updated | Sep 3rd, 2024 - about 2 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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