Offhaus, Kevin J.

Offhaus, Kevin J. is an sole proprietor health care provider with primary practice located at 1140 Mallard Ct , Manteca CA 95337-6000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Offhaus, Kevin J. can be contacted via phone (805) 835-1309.

Contact Information

Primary practice address
1140 Mallard Ct Manteca CA 95337-6000
Phone: (805) 835-1309
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25883 California

Profile Details

NPI number 1366402943
LBN Legal business name Offhaus, Kevin J.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Nov 29th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1366402943 NPPES
New York Other 160743251-4 PRISM
New York Other 9118369 PRISM
New York Other UAW229284 U PRISM
New York Other 00030241501 PRISM
New York Other 647142 PRISM

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