Fernandez, Manuel Enrique
Fernandez, Manuel Enrique is an sole proprietor health care provider with primary practice located at 1070 Concord Ave Ste 109 , Concord CA 94520-5608. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Agencies / Community/Behavioral Health, Hospitals / General Acute Care Hospital, Hospitals / Psychiatric Hospital, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fernandez, Manuel Enrique can be contacted via phone (925) 849-5349.Contact Information
Primary practice address
1070 Concord Ave Ste 109
Concord CA 94520-5608
Phone: (925) 849-5349
Fax: (925) 270-3382
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | ||
Agencies / Community/Behavioral Health | 251S00000X | PSY 26787 | California |
Hospitals / General Acute Care Hospital | 282N00000X | PSY 26787 | California |
Hospitals / Psychiatric Hospital | 283Q00000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY26787 | California |
Profile Details
NPI number | 1558558676 |
---|---|
LBN Legal business name | Fernandez, Manuel Enrique |
Credentials | PSYD, MSCP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2007 |
Last updated | Aug 21st, 2020 - about 4 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 | 1558558676 | NPPES |
California | Other | 1750641189 | NPI |
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