Nez, Calvin J
Nez, Calvin J is an individual health care provider with primary practice located at Building No 25 , Tuba City AZ 86045. 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. Nez, Calvin J can be contacted via phone (928) 283-3031.Contact Information
Primary practice address
Building No 25
Tuba City AZ 86045
Phone: (928) 283-3031
Fax: (928) 283-3039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-11030 | Arizona |
Profile Details
| NPI number | 1659581353 |
|---|---|
| LBN Legal business name | Nez, Calvin J |
| Credentials | LISAC, ICADC, SCB |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659581353 | NPPES |
| Arizona | MEDICAID | 329492 |
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