Mares, Miguel Angel
Mares, Miguel Angel is an sole proprietor health care provider with primary practice located at 795 Willow Rd Building 324, Office # B147, Menlo Park CA 94025-2539. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mares, Miguel Angel can be contacted via phone (650) 493-5000.Contact Information
Primary practice address
795 Willow Rd Building 324, Office # B147
Menlo Park CA 94025-2539
Phone: (650) 493-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 22083 | California |
Profile Details
NPI number | 1295914778 |
---|---|
LBN Legal business name | Mares, Miguel Angel |
Credentials | ASW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2007 |
Last updated | Jan 3rd, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295914778 | NPPES |
California | Other | 22083 | ASW |
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