Pardo, Michael Dominick
Pardo, Michael Dominick is an sole proprietor health care provider with primary practice located at 1137 Emerald Bay Rd , South Lake Tahoe CA 96150-6207. 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. Pardo, Michael Dominick can be contacted via phone (530) 541-5190.Contact Information
Primary practice address
1137 Emerald Bay Rd
South Lake Tahoe CA 96150-6207
Phone: (530) 541-5190
Fax: (530) 541-6031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | N4785522 | California |
Profile Details
| NPI number | 1346489549 |
|---|---|
| LBN Legal business name | Pardo, Michael Dominick |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Feb 11th, 2009 - about 15 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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