Alonso, Mario
Alonso, Mario is an individual health care provider with primary practice located at 1011 Brookside Rd Suite 305, Allentown PA 18106-9020. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Alonso, Mario can be contacted via phone (610) 437-2277.Contact Information
Primary practice address
1011 Brookside Rd Suite 305
Allentown PA 18106-9020
Phone: (610) 437-2277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS002534L | Pennsylvania |
Profile Details
| NPI number | 1184621682 |
|---|---|
| LBN Legal business name | Alonso, Mario |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 1st, 2007 - about 19 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 | 1184621682 | NPPES |
| Pennsylvania | Other | 01522802 | CAPITAL BLUE CROSS ID |
| Pennsylvania | Other | 089817 | CAPITAL BLUE CROSS ID |
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