Dean, Jonathan Craig
Dean, Jonathan Craig is an individual health care provider with primary practice located at 504 W Vista Way , Vista CA 92083-5704. 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. Dean, Jonathan Craig can be contacted via phone (760) 940-1836.Contact Information
Primary practice address
504 W Vista Way
Vista CA 92083-5704
Phone: (760) 940-1836
Fax: (760) 940-1274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 261QR0405X | California |
Profile Details
| NPI number | 1477732147 |
|---|---|
| LBN Legal business name | Dean, Jonathan Craig |
| Credentials | BS, CAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Oct 7th, 2008 - about 16 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 | 1477732147 | NPPES |
| California | MEDICAID | 37AB |
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