Vital, Carmen M

Vital, Carmen M is an sole proprietor health care provider with primary practice located at 2425 Enborg Ln , San Jose CA 95128-2648. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Vital, Carmen M can be contacted via phone (408) 885-5400.

Contact Information

Primary practice address
2425 Enborg Ln San Jose CA 95128-2648
Phone: (408) 885-5400
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1083745061
LBN Legal business name Vital, Carmen M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
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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