Jacka, Ciaran

Jacka, Ciaran is an individual health care provider with primary practice located at 13847 E 14Th St Ste 210 , San Leandro CA 94578-2626. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Jacka, Ciaran can be contacted via phone (510) 351-7552.

Contact Information

Primary practice address
13847 E 14Th St Ste 210 San Leandro CA 94578-2626
Phone: (510) 351-7552
Fax: (510) 351-6009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E4622 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4622 California

Profile Details

NPI number 1891735445
LBN Legal business name Jacka, Ciaran
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 11th, 2022 - about 2 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 1891735445 NPPES
California MEDICAID 000E46220

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