Amantine, Dyrol
Amantine, Dyrol is an sole proprietor health care provider with primary practice located at 31772 Casino Dr Ste A , Lake Elsinore CA 92530-4502. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Amantine, Dyrol can be contacted via phone (909) 721-0548.Contact Information
Primary practice address
31772 Casino Dr Ste A
Lake Elsinore CA 92530-4502
Phone: (909) 721-0548
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | AMFT108592 | California |
Profile Details
NPI number | 1053965111 |
---|---|
LBN Legal business name | Amantine, Dyrol |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 27th, 2019 |
Last updated | Apr 16th, 2024 - about 8 months 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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