Floyd, Jon W

Floyd, Jon W is an individual health care provider with primary practice located at 2999 Regent St #612, Berkeley CA 94705-2146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Floyd, Jon W can be contacted via phone (510) 848-1733.

Contact Information

Primary practice address
2999 Regent St #612 Berkeley CA 94705-2146
Fax: (510) 848-8224
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X G69687 California

Profile Details

NPI number 1457428021
LBN Legal business name Floyd, Jon W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1457428021 NPPES
California MEDICAID YYY49005Y

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