Araza, Jack Richard

Araza, Jack Richard is an sole proprietor health care provider with primary practice located at 309 East John St. Ste #1 , Carson City NV 89706. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Araza, Jack Richard can be contacted via phone (775) 885-0206.

Contact Information

Primary practice address
309 East John St. Ste #1 Carson City NV 89706
Phone: (775) 885-0206
Fax: (775) 883-2720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 96 Nevada

Profile Details

NPI number 1992926646
LBN Legal business name Araza, Jack Richard
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 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 1992926646 NPPES
Nevada MEDICAID 2613002

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