Stater, Carl Bruce

Stater, Carl Bruce is an sole proprietor health care provider with primary practice located at 474 W Vermont Ave Ste 104 , Escondido CA 92025-6584. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Stater, Carl Bruce can be contacted via phone (176) 043-2988.

Contact Information

Primary practice address
474 W Vermont Ave Ste 104 Escondido CA 92025-6584
Phone: (176) 043-2988
Fax: (176) 043-2995
Website:
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Health care specialties

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

Profile Details

NPI number 1013085000
LBN Legal business name Stater, Carl Bruce
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 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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