Pehle, John William
Pehle, John William is an sole proprietor health care provider with primary practice located at 1024 J St Ste 412 , Modesto CA 95354-0844. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pehle, John William can be contacted via phone (209) 577-1159.Contact Information
Primary practice address
1024 J St Ste 412
Modesto CA 95354-0844
Phone: (209) 577-1159
Fax: (209) 823-8189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY5304 | California |
Profile Details
| NPI number | 1487680641 |
|---|---|
| LBN Legal business name | Pehle, John William |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1487680641 | NPPES |
| California | MEDICAID | PSY053040 |
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