Madrid, Jesse
Madrid, Jesse is an sole proprietor health care provider with primary practice located at 52085 Avenida Navarro , La Quinta CA 92253-5234. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Madrid, Jesse can be contacted via phone (760) 391-3707.Contact Information
Primary practice address
52085 Avenida Navarro
La Quinta CA 92253-5234
Phone: (760) 391-3707
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1700499415 |
---|---|
LBN Legal business name | Madrid, Jesse |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2020 |
Last updated | Aug 24th, 2020 - about 4 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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