Nixon, Kyle
Nixon, Kyle is an sole proprietor health care provider with primary practice located at 12530 10Th St Ste C , Chino CA 91710-3520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nixon, Kyle can be contacted via phone (909) 248-3434.Contact Information
Primary practice address
12530 10Th St Ste C
Chino CA 91710-3520
Phone: (909) 248-3434
Fax: (909) 614-7870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY30919 | California |
Profile Details
| NPI number | 1609395672 |
|---|---|
| LBN Legal business name | Nixon, Kyle |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2017 |
| Last updated | Mar 7th, 2024 - about 2 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 | 1609395672 | NPPES |
| California | Other | PSY30919 | BOARD OF PSYCHOLOGY |
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