Jacques, Christopher John

Jacques, Christopher John is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Jacques, Christopher John can be contacted via phone (415) 925-7174.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904
Phone: (415) 925-7174
Fax: (415) 898-0870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A48094 California

Profile Details

NPI number 1699883314
LBN Legal business name Jacques, Christopher John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1699883314 NPPES
California MEDICAID 00A480940

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