Matlock, Dennis Mark
Matlock, Dennis Mark is an sole proprietor health care provider with primary practice located at 83912 Avenue 45 Ste 9 , Indio CA 92201-3338. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Matlock, Dennis Mark can be contacted via phone (760) 347-0754.Contact Information
Primary practice address
83912 Avenue 45 Ste 9
Indio CA 92201-3338
Phone: (760) 347-0754
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1457490088 |
|---|---|
| LBN Legal business name | Matlock, Dennis Mark |
| Credentials | RS1503 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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