Medrano, Michael Reyes

Medrano, Michael Reyes is an sole proprietor health care provider with primary practice located at 17014 W Bell Rd Ste 100 , Surprise AZ 85374-2479. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Medrano, Michael Reyes can be contacted via phone (623) 866-4484.

Contact Information

Primary practice address
17014 W Bell Rd Ste 100 Surprise AZ 85374-2479
Phone: (623) 866-4484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-005525 Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-2022-0046 New Mexico

Profile Details

NPI number 1386382372
LBN Legal business name Medrano, Michael Reyes
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2022
Last updated Jul 25th, 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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