Bales, Jerry

Bales, Jerry is an sole proprietor health care provider with primary practice located at 749 Cottonwood Ave , South San Francisco CA 94080-2526. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bales, Jerry can be contacted via phone (415) 244-2658.

Contact Information

Primary practice address
749 Cottonwood Ave South San Francisco CA 94080-2526
Phone: (415) 244-2658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 48017 California

Profile Details

NPI number 1316136195
LBN Legal business name Bales, Jerry
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Apr 3rd, 2013 - about 12 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 1316136195 NPPES
Other A198977 NUID

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