Diaz, Manuel

Diaz, Manuel is an individual health care provider with primary practice located at 290 Tennessee St , Redlands CA 92373-1439. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Diaz, Manuel can be contacted via phone (909) 307-8337.

Contact Information

Primary practice address
290 Tennessee St Redlands CA 92373-1439
Phone: (909) 307-8337
Fax: (909) 307-1267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1447461124
LBN Legal business name Diaz, Manuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
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 1447461124 NPPES
Arkansas Other 2117 SIMON STAFF NUMBER

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