Jolliffe, Brian Michael

Jolliffe, Brian Michael is an individual health care provider with primary practice located at 620 N Ash St , Escondido CA 92027-1902. 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. Jolliffe, Brian Michael can be contacted via phone (760) 741-7708.

Contact Information

Primary practice address
620 N Ash St Escondido CA 92027-1902
Phone: (760) 741-7708
Fax: (760) 741-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 030703 California

Profile Details

NPI number 1427268614
LBN Legal business name Jolliffe, Brian Michael
Credentials CAADE
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 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 1427268614 NPPES
California MEDICAID 37AB

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