Maynard, Michael Ray

Maynard, Michael Ray is an sole proprietor health care provider with primary practice located at 7828 Day Creek Blvd Apt 131 , Rancho Cucamonga CA 91739-8570. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Maynard, Michael Ray can be contacted via phone (909) 438-0351.

Contact Information

Primary practice address
7828 Day Creek Blvd Apt 131 Rancho Cucamonga CA 91739-8570
Phone: (909) 438-0351
Fax: (909) 438-0351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APCC9197 California

Profile Details

NPI number 1205069812
LBN Legal business name Maynard, Michael Ray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2009
Last updated Oct 3rd, 2022 - about 3 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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