Jaeger, Marcella M

Jaeger, Marcella M is an sole proprietor health care provider with primary practice located at 4062 Flying C Rd , Cameron Park CA 95682-9664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jaeger, Marcella M can be contacted via phone (530) 676-8230.

Contact Information

Primary practice address
4062 Flying C Rd Cameron Park CA 95682-9664
Fax: (530) 676-0819
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G87379 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000148102 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-101304 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18516 Alabama

Profile Details

NPI number 1902858483
LBN Legal business name Jaeger, Marcella M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Mar 7th, 2023 - about last year

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 1902858483 NPPES
California MEDICAID 00G87379
California Other 18516
California Other 2000148102
California Other 036-101304
California Other G87379

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