Mahoney, Michael Robert

Mahoney, Michael Robert is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Ste 14 , San Diego CA 92134-1014. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mahoney, Michael Robert can be contacted via phone (636) 634-6383.

Contact Information

Primary practice address
34800 Bob Wilson Dr Ste 14 San Diego CA 92134-1014
Phone: (636) 634-6383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X California

Profile Details

NPI number 1144858317
LBN Legal business name Mahoney, Michael Robert
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Apr 1st, 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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