Jary, Donald R
Jary, Donald R is an sole proprietor health care provider with primary practice located at 1805 Medical Center Dr , San Bernardino CA 92411-1217. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jary, Donald R can be contacted via phone (858) 205-5394.Contact Information
Primary practice address
1805 Medical Center Dr
San Bernardino CA 92411-1217
Phone: (858) 205-5394
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY12654 | California |
Profile Details
| NPI number | 1699701250 |
|---|---|
| LBN Legal business name | Jary, Donald R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Apr 20th, 2009 - about 17 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 | 1699701250 | NPPES |
| California | MEDICAID | PSY126542 |
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