Carreon-Bennett, Jose Jr

Carreon-Bennett, Jose Jr is an sole proprietor health care provider with primary practice located at 43520 Division St , Lancaster CA 93535-4089. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Carreon-Bennett, Jose Jr can be contacted via phone (661) 266-4783.

Contact Information

Primary practice address
43520 Division St Lancaster CA 93535-4089
Phone: (661) 266-4783
Fax: (661) 266-1210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1417720541
LBN Legal business name Carreon-Bennett, Jose Jr
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2023
Last updated Oct 31st, 2023 - about 2 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 1417720541 NPPES
California MEDICAID 95-2633765

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