Cast, Matthew
Cast, Matthew is an individual health care provider with primary practice located at 12188 Hesperia Rd , Victorville CA 92395-5822. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cast, Matthew can be contacted via phone (760) 477-2199.Contact Information
Primary practice address
12188 Hesperia Rd
Victorville CA 92395-5822
Phone: (760) 477-2199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1205230570 |
|---|---|
| LBN Legal business name | Cast, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2014 |
| Last updated | Sep 21st, 2022 - about 4 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 | 1205230570 | NPPES |
| California | Other | 1205230570 | PACIFIC CLINICS |
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