Crawford-Jakubiak, James Edward

Crawford-Jakubiak, James Edward is an sole proprietor health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, which is considered as his primary health care specialty. Crawford-Jakubiak, James Edward can be contacted via phone (510) 428-3742.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3742
Fax: (510) 450-5881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X G84069 California

Profile Details

NPI number 1689975955
LBN Legal business name Crawford-Jakubiak, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2010
Last updated Jun 25th, 2021 - about 4 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 1689975955 NPPES
California MEDICAID HSC00611F

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