Ahlstrom, Henry Hans Bjorn

Ahlstrom, Henry Hans Bjorn is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93422-5808. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ahlstrom, Henry Hans Bjorn can be contacted via phone (805) 468-2000.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93422-5808
Fax: (805) 468-6011
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14420 California

Profile Details

NPI number 1619945870
LBN Legal business name Ahlstrom, Henry Hans Bjorn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 15th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619945870 NPPES
California MEDICAID PSY144200

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