De St. Jeor, Larry Jess
De St. Jeor, Larry Jess is an individual health care provider with primary practice located at 231 W Fir Ave , Clovis CA 93611-0220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. De St. Jeor, Larry Jess can be contacted via phone (559) 297-0300.Contact Information
Primary practice address
231 W Fir Ave
Clovis CA 93611-0220
Phone: (559) 297-0300
Fax: (559) 323-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G25036 | California |
Profile Details
| NPI number | 1417953472 |
|---|---|
| LBN Legal business name | De St. Jeor, Larry Jess |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Feb 14th, 2008 - about 16 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 | 1417953472 | NPPES |
| California | MEDICAID | 00G250360 |
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