Cunningham, Jason
Cunningham, Jason is an individual health care provider with primary practice located at 6800 Palm Ave Suite C, Sebastopol CA 95472-4269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cunningham, Jason can be contacted via phone (707) 824-9999.Contact Information
Primary practice address
6800 Palm Ave Suite C
Sebastopol CA 95472-4269
Phone: (707) 824-9999
Fax: (707) 824-2853
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A8284 | California |
Profile Details
NPI number | 1811990237 |
---|---|
LBN Legal business name | Cunningham, Jason |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Jun 25th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811990237 | NPPES |
California | MEDICAID | 00AX82840 | |
California | MEDICAID | 1598768962 | |
California | Other | ZZZ23666Z | |
California | MEDICAID | 1356344758 | |
California | MEDICAID | 1538334065 |
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