Ponce, Jeffery

Ponce, Jeffery is an sole proprietor health care provider with primary practice located at 4510 Peralta Blvd Suite 1, Fremont CA 94536-5755. 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. Ponce, Jeffery can be contacted via phone (510) 713-3202.

Contact Information

Primary practice address
4510 Peralta Blvd Suite 1 Fremont CA 94536-5755
Phone: (510) 713-3202
Fax: (510) 713-0684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X P0412282013 California

Profile Details

NPI number 1295923357
LBN Legal business name Ponce, Jeffery
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295923357 NPPES
California Other P0412282013 BREINING INSTITUTE

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