Bristow, Alice Lynn

Bristow, Alice Lynn is an sole proprietor health care provider with primary practice located at 707 14Th St , Modesto CA 95354-2506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bristow, Alice Lynn can be contacted via phone (209) 525-6041.

Contact Information

Primary practice address
707 14Th St Modesto CA 95354-2506
Fax: (209) 525-6034
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 23079 California

Profile Details

NPI number 1053443812
LBN Legal business name Bristow, Alice Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 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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