Kelly, Manny Brice
Kelly, Manny Brice is an sole proprietor health care provider with primary practice located at 1481 Windsor Dr , San Bernardino CA 92404-5416. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Kelly, Manny Brice can be contacted via phone (909) 361-6472.Contact Information
Primary practice address
1481 Windsor Dr
San Bernardino CA 92404-5416
Phone: (909) 361-6472
Fax: (909) 203-7403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | 33817 | California |
Profile Details
| NPI number | 1003479320 |
|---|---|
| LBN Legal business name | Kelly, Manny Brice |
| Credentials | LPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2019 |
| Last updated | Apr 22nd, 2019 - about 7 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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