Madgulkar, Jaidev
Madgulkar, Jaidev is an individual health care provider with primary practice located at 12625 Hesperia Rd , Victorville CA 92395-7720. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Madgulkar, Jaidev can be contacted via phone (760) 955-1777.Contact Information
Primary practice address
12625 Hesperia Rd
Victorville CA 92395-7720
Phone: (760) 955-1777
Fax: (760) 955-2356
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS16148 | California |
Profile Details
NPI number | 1679663181 |
---|---|
LBN Legal business name | Madgulkar, Jaidev |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | May 20th, 2013 - 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.
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