Smith, Garran Alexander

Smith, Garran Alexander is an sole proprietor health care provider with primary practice located at 8014 Mango Ave Apt F75, Fontana CA 92336-3352. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Smith, Garran Alexander can be contacted via phone (909) 900-7710.

Contact Information

Primary practice address
8014 Mango Ave Apt F75 Fontana CA 92336-3352
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1821408949
LBN Legal business name Smith, Garran Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2014
Last updated Apr 28th, 2014 - about 10 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 1821408949 NPPES
California MEDICAID 000000000000

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