Beadore-Minoff, Jason Douglas
Beadore-Minoff, Jason Douglas is an sole proprietor health care provider with primary practice located at 34101 Farenholt Ave Bldg 14 , San Diego CA 92134-5291. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Beadore-Minoff, Jason Douglas can be contacted via phone (619) 532-7968.Contact Information
Primary practice address
34101 Farenholt Ave Bldg 14
San Diego CA 92134-5291
Phone: (619) 532-7968
Fax: (619) 532-8251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1902304694 |
|---|---|
| LBN Legal business name | Beadore-Minoff, Jason Douglas |
| Credentials | SFIDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2018 |
| Last updated | Jan 27th, 2018 - about 6 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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