Adam, Dane

Adam, Dane is an sole proprietor health care provider with primary practice located at 4720 Wilson Ave , San Diego CA 92116-2406. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Adam, Dane can be contacted via phone (619) 512-3263.

Contact Information

Primary practice address
4720 Wilson Ave San Diego CA 92116-2406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21414 California

Profile Details

NPI number 1750675492
LBN Legal business name Adam, Dane
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2011
Last updated May 28th, 2011 - about 13 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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