Jacknow, Dale

Jacknow, Dale is an sole proprietor health care provider with primary practice located at 101 S San Mateo Dr Suite 208, San Mateo CA 94401-3819. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Jacknow, Dale can be contacted via phone (650) 342-3137.

Contact Information

Primary practice address
101 S San Mateo Dr Suite 208 San Mateo CA 94401-3819
Phone: (650) 342-3137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 657898 California

Profile Details

NPI number 1194959569
LBN Legal business name Jacknow, Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2009
Last updated May 13th, 2009 - about 15 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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