Medrano, Michael Reyes
Medrano, Michael Reyes is an sole proprietor health care provider with primary practice located at 17014 W Bell Rd Ste 100 , Surprise AZ 85374-2479. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Medrano, Michael Reyes can be contacted via phone (623) 866-4484.Contact Information
Primary practice address
17014 W Bell Rd Ste 100
Surprise AZ 85374-2479
Phone: (623) 866-4484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-005525 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-2022-0046 | New Mexico |
Profile Details
| NPI number | 1386382372 |
|---|---|
| LBN Legal business name | Medrano, Michael Reyes |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2022 |
| Last updated | Jul 25th, 2022 - about 4 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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