Fishback, James Brian

Fishback, James Brian is an individual health care provider with primary practice located at 4421 Brookpine Dr , San Luis Obispo CA 93401-7802. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fishback, James Brian can be contacted via phone (805) 784-0496.

Contact Information

Primary practice address
4421 Brookpine Dr San Luis Obispo CA 93401-7802
Phone: (805) 784-0496
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12315 California

Profile Details

NPI number 1164854139
LBN Legal business name Fishback, James Brian
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2013
Last updated Aug 1st, 2013 - about 13 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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