Bixby, Jonathan Carl

Bixby, Jonathan Carl is an individual health care provider with primary practice located at 505 Parnassus Ave Room M-696, Box 0110, San Francisco CA 94143-0110. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bixby, Jonathan Carl can be contacted via phone (415) 502-2720.

Contact Information

Primary practice address
505 Parnassus Ave Room M-696, Box 0110 San Francisco CA 94143-0110
Phone: (415) 502-2720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301092684 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X A127136 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301092684 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A127136 California

Profile Details

NPI number 1760639983
LBN Legal business name Bixby, Jonathan Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Jul 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760639983 NPPES
California Other A127136 MEDICAL BOARD OF CALIFORNIA
California Other 4301092684 MEDICAL BOARD OF CALIFORNIA

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