Carrillo, Juan

Carrillo, Juan is an individual health care provider with primary practice located at 1200 Maple St Ste 108 , Madera CA 93637-6330. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carrillo, Juan can be contacted via phone (559) 661-5194.

Contact Information

Primary practice address
1200 Maple St Ste 108 Madera CA 93637-6330
Phone: (559) 661-5194
Fax: (559) 675-5149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1053528182
LBN Legal business name Carrillo, Juan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Feb 19th, 2008 - 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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