Jagusch, Christian R

Jagusch, Christian R is an individual health care provider with primary practice located at 1100 W Stewart Dr , Orange CA 92868-3849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jagusch, Christian R can be contacted via phone (714) 633-9111.

Contact Information

Primary practice address
1100 W Stewart Dr Orange CA 92868-3849
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A66125 California

Profile Details

NPI number 1952445579
LBN Legal business name Jagusch, Christian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
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 1952445579 NPPES
California MEDICAID 00A661250

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