Juniper, John Stephen

Juniper, John Stephen is an individual health care provider with primary practice located at 12908 Rimmon Rd , Eastvale CA 92880-3439. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Juniper, John Stephen can be contacted via phone (951) 205-9191.

Contact Information

Primary practice address
12908 Rimmon Rd Eastvale CA 92880-3439
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X PPS 120001848 California
Behavioral Health & Social Service Providers / Professional 101YP2500X PCI 18 California

Profile Details

NPI number 1346524410
LBN Legal business name Juniper, John Stephen
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Apr 10th, 2024 - about 7 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 1346524410 NPPES
California Other 101YA0400X MEDI-CAL

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