Smith, Raymond Bernard
Smith, Raymond Bernard is an sole proprietor health care provider with primary practice located at 1745 Enterprise Dr Suite 2M, Fairfield CA 94533-5801. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Raymond Bernard can be contacted via phone (707) 399-4900.Contact Information
Primary practice address
1745 Enterprise Dr Suite 2M
Fairfield CA 94533-5801
Phone: (707) 399-4900
Fax: (707) 399-4957
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW11378 | California |
Profile Details
NPI number | 1144382490 |
---|---|
LBN Legal business name | Smith, Raymond Bernard |
Credentials | ASW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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