Fernstrom, John

Fernstrom, John is an individual health care provider with primary practice located at 55475 Santa Fe Trl , Yucca Valley CA 92284-3117. 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. Fernstrom, John can be contacted via phone (760) 365-3022.

Contact Information

Primary practice address
55475 Santa Fe Trl Yucca Valley CA 92284-3117
Phone: (760) 365-3022
Fax: (760) 365-3513
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1437312659
LBN Legal business name Fernstrom, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jul 8th, 2008 - about 18 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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