Ichino, Jake H.

Ichino, Jake H. is an individual health care provider with primary practice located at 1500 E 2Nd St Suite 400, Reno NV 89502-1262. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ichino, Jake H. can be contacted via phone (775) 982-2400.

Contact Information

Primary practice address
1500 E 2Nd St Suite 400 Reno NV 89502-1262
Phone: (775) 982-2400
Fax: (775) 982-3294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10159 Nevada
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 10159 Nevada

Profile Details

NPI number 1033136932
LBN Legal business name Ichino, Jake H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 17th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033136932 NPPES
Other 11040684 CAQH
MEDICAID XPY197049 CAQH
MEDICAID 1033136932 CAQH
Other CC3194 CAQH

Popular Providers