Guardiola, David
Guardiola, David is an sole proprietor health care provider with primary practice located at 1235 Carbon St , Fremont OH 43420-1727. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Guardiola, David can be contacted via phone (419) 680-0172.Contact Information
Primary practice address
1235 Carbon St
Fremont OH 43420-1727
Phone: (419) 680-0172
Fax: (419) 355-1969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I1101260 | Ohio |
Profile Details
| NPI number | 1376829986 |
|---|---|
| LBN Legal business name | Guardiola, David |
| Credentials | MSW, LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2011 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1376829986 | NPPES |
| Other | 1376829986 | NPI | |
| Other | 12315045 | NPI |
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