Fabrick, Zachary Benjamin

Fabrick, Zachary Benjamin is an sole proprietor health care provider with primary practice located at 2325 Clement Ave Ste A , Alameda CA 94501-7061. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counseling, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Fabrick, Zachary Benjamin can be contacted via phone (510) 629-6300.

Contact Information

Primary practice address
2325 Clement Ave Ste A Alameda CA 94501-7061
Phone: (510) 629-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1841800166
LBN Legal business name Fabrick, Zachary Benjamin
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2020
Last updated May 19th, 2024 - about 4 months 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 1841800166 NPPES
California MEDICAID 8121

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