Fabrikant, Jerry M

Fabrikant, Jerry M is an sole proprietor health care provider with primary practice located at 5565 Grossmont Center Dr Bldg 3 # 353, La Mesa CA 91942-3007. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Fabrikant, Jerry M can be contacted via phone (619) 465-3443.

Contact Information

Primary practice address
5565 Grossmont Center Dr Bldg 3 # 353 La Mesa CA 91942-3007
Phone: (619) 465-3443
Fax: (619) 466-7311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 000E23120 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000E23120 California

Profile Details

NPI number 1689622177
LBN Legal business name Fabrikant, Jerry M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Mar 17th, 2009 - about 15 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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