A Jerome, Sean
A Jerome, Sean is an sole proprietor health care provider with primary practice located at 1102 Buckingham Dr Apt B , Costa Mesa CA 92626-2137. 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. A Jerome, Sean can be contacted via phone (951) 473-6484.Contact Information
Primary practice address
1102 Buckingham Dr Apt B
Costa Mesa CA 92626-2137
Phone: (951) 473-6484
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | A061540822 | California |
Profile Details
NPI number | 1831884550 |
---|---|
LBN Legal business name | A Jerome, Sean |
Credentials | CADCII |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 7th, 2023 |
Last updated | Apr 10th, 2023 - 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.
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