Gacusan, Jeremiah
Gacusan, Jeremiah is an sole proprietor health care provider with primary practice located at 251 Llewellyn Ave , Campbell CA 95008-1940. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Gacusan, Jeremiah can be contacted via phone (916) 388-6372.Contact Information
Primary practice address
251 Llewellyn Ave
Campbell CA 95008-1940
Phone: (916) 388-6372
Fax: (916) 779-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | 29197 | California |
Profile Details
| NPI number | 1679987036 |
|---|---|
| LBN Legal business name | Gacusan, Jeremiah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2014 |
| Last updated | Jun 13th, 2014 - 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.
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