Jack, Robert Lionel

Jack, Robert Lionel is an individual health care provider with primary practice located at 1225 Crane St , Menlo Park CA 94025-4257. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jack, Robert Lionel can be contacted via phone (650) 323-0231.

Contact Information

Primary practice address
1225 Crane St Menlo Park CA 94025-4257
Fax: (650) 565-8297
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G17236 California

Profile Details

NPI number 1376601443
LBN Legal business name Jack, Robert Lionel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jan 3rd, 2012 - about 12 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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