Canchola, Yassar E

Canchola, Yassar E is an individual health care provider with primary practice located at 32 Boulevard Del Rey David , Nogales AZ 85621-9667. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Canchola, Yassar E can be contacted via phone (520) 281-9189.

Contact Information

Primary practice address
32 Boulevard Del Rey David Nogales AZ 85621-9667
Phone: (520) 281-9189
Fax: (520) 281-0916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC11046 Arizona

Profile Details

NPI number 1871685958
LBN Legal business name Canchola, Yassar E
Credentials BA, LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871685958 NPPES
Arizona Other 888563 AHCCCS

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