Juarez, Miguel Angel

Juarez, Miguel Angel is an individual health care provider with primary practice located at 1143 Missouri St , Fairfield CA 94533-6007. 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. Juarez, Miguel Angel can be contacted via phone (707) 435-9911.

Contact Information

Primary practice address
1143 Missouri St Fairfield CA 94533-6007
Phone: (707) 435-9911
Fax: (707) 435-0704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20005046536 California

Profile Details

NPI number 1831266626
LBN Legal business name Juarez, Miguel Angel
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831266626 NPPES
California Other 20005046536 MEDICAL ASSISTANT

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