Bartholow, John S
Bartholow, John S is an individual health care provider with primary practice located at 7777 Alvarado Rd # 278 , La Mesa CA 91941-3616. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bartholow, John S can be contacted via phone (619) 994-7862.Contact Information
Primary practice address
7777 Alvarado Rd # 278
La Mesa CA 91941-3616
Phone: (619) 994-7862
Fax: (619) 265-1802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY7165 | California |
Profile Details
| NPI number | 1134247919 |
|---|---|
| LBN Legal business name | Bartholow, John S |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134247919 | NPPES |
| California | Other | 076407 | TRICARE |
| California | MEDICAID | PR0071650 | TRICARE |
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