Zywicki, Eric
Zywicki, Eric is an sole proprietor health care provider with primary practice located at 570 W 4Th St , San Bernardino CA 92401-1405. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Zywicki, Eric can be contacted via phone (949) 303-9811.Contact Information
Primary practice address
570 W 4Th St
San Bernardino CA 92401-1405
Phone: (949) 303-9811
Fax: (760) 216-5791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95007578 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95007578 | California |
Profile Details
| NPI number | 1851801443 |
|---|---|
| LBN Legal business name | Zywicki, Eric |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2017 |
| Last updated | Mar 5th, 2025 - about last year |
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 | 1851801443 | NPPES |
| California | MEDICAID | 95007578 | |
| California | Other | 95007578 |
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