Koontz, Nicholas Robert

Koontz, Nicholas Robert is an individual health care provider with primary practice located at 2200 E Route 66 , Glendora CA 91740-4659. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Koontz, Nicholas Robert can be contacted via phone (626) 859-2089.

Contact Information

Primary practice address
2200 E Route 66 Glendora CA 91740-4659
Phone: (626) 859-2089
Fax: (626) 859-6537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF68820 California

Profile Details

NPI number 1821301292
LBN Legal business name Koontz, Nicholas Robert
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2010
Last updated Oct 19th, 2015 - about 9 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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