Fernandez, Manuel Enrique

Fernandez, Manuel Enrique is an sole proprietor health care provider with primary practice located at 1070 Concord Ave Ste 109 , Concord CA 94520-5608. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Agencies / Community/Behavioral Health, Hospitals / General Acute Care Hospital, Hospitals / Psychiatric Hospital, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fernandez, Manuel Enrique can be contacted via phone (925) 849-5349.

Contact Information

Primary practice address
1070 Concord Ave Ste 109 Concord CA 94520-5608
Phone: (925) 849-5349
Fax: (925) 270-3382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X
Agencies / Community/Behavioral Health 251S00000X PSY 26787 California
Hospitals / General Acute Care Hospital 282N00000X PSY 26787 California
Hospitals / Psychiatric Hospital 283Q00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26787 California

Profile Details

NPI number 1558558676
LBN Legal business name Fernandez, Manuel Enrique
Credentials PSYD, MSCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2007
Last updated Aug 21st, 2020 - about 6 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 1558558676 NPPES
California Other 1750641189 NPI

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