Vandiver, Adam Shawn

Vandiver, Adam Shawn is an individual health care provider with primary practice located at 545 N Magnolia Ave , El Cajon CA 92020-3608. 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. Vandiver, Adam Shawn can be contacted via phone (619) 579-0947.

Contact Information

Primary practice address
545 N Magnolia Ave El Cajon CA 92020-3608
Phone: (619) 579-0947
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RW6051 California

Profile Details

NPI number 1346586435
LBN Legal business name Vandiver, Adam Shawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2012
Last updated Dec 18th, 2012 - about 14 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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