Andonov, Nick B

Andonov, Nick B is an individual health care provider with primary practice located at 2380 N Sierra Way , San Bernardino CA 92405-3546. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Andonov, Nick B can be contacted via phone (909) 883-5977.

Contact Information

Primary practice address
2380 N Sierra Way San Bernardino CA 92405-3546
Phone: (909) 883-5977
Fax: (909) 881-4070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY4792 California

Profile Details

NPI number 1720127921
LBN Legal business name Andonov, Nick B
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1720127921 NPPES
California MEDICAID 00PL47920

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