Fu, Jackson C
Fu, Jackson C is an sole proprietor health care provider with primary practice located at 44241 15Th St W Ste 303, Lancaster CA 93534-4037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fu, Jackson C can be contacted via phone (661) 948-4691.Contact Information
Primary practice address
44241 15Th St W Ste 303
Lancaster CA 93534-4037
Phone: (661) 948-4691
Fax: (661) 949-5831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A41310 | California |
Profile Details
| NPI number | 1871581637 |
|---|---|
| LBN Legal business name | Fu, Jackson C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Dec 29th, 2011 - about 14 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 | 1871581637 | NPPES |
| California | MEDICAID | 00A413100 |
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