Patel, Divya Sanmukh
Patel, Divya Sanmukh is an sole proprietor health care provider with primary practice located at 3540 Lakeshore Ave , Oakland CA 94610-2223. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Patel, Divya Sanmukh can be contacted via phone (530) 410-7431.Contact Information
Primary practice address
3540 Lakeshore Ave
Oakland CA 94610-2223
Phone: (530) 410-7431
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1346756913 |
|---|---|
| LBN Legal business name | Patel, Divya Sanmukh |
| Credentials | BEHAVIOR TECHNICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2017 |
| Last updated | Dec 19th, 2017 - about 8 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 | 1346756913 | NPPES |
| California | Other | JQP096A54100 | ANTHEM BLUE CROSS |
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