Jann, Bradley Glenn
Jann, Bradley Glenn is an sole proprietor health care provider with primary practice located at 100 Thorndale Dr Medical Clinic, San Rafael CA 94903-4501. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jann, Bradley Glenn can be contacted via phone (415) 461-5995.Contact Information
Primary practice address
100 Thorndale Dr Medical Clinic
San Rafael CA 94903-4501
Phone: (415) 461-5995
Fax: (415) 461-5995
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E3865 | California |
Profile Details
NPI number | 1265429310 |
---|---|
LBN Legal business name | Jann, Bradley Glenn |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2005 |
Last updated | Jul 25th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265429310 | NPPES |
California | MEDICAID | 000E38650 |
Popular Providers
-
Goldblatt, William Gerald
322 N San Dimas Ave , San Dimas CA 91773-2601 -
Blake, Richard Lawrence
900 Hyde St , San Francisco CA 94109-4806 -
Ortman, Howard Scott
711 D St Suite 114, San Rafael CA 94901-3707 -
Grandinetti, Gail Marie
3575 Geary Blvd First Floor, San Francisco CA 94118-3212 -
Heisman, Michael Alan
255 N White Rd Ste 200 , San Jose CA 95127-1966 -
Miller, Jere Alan
4060 Huerfano Ave #312, San Diego CA 92117-5207 -
Rizzo, Mario W.
15 W Portal Ave , San Francisco CA 94127-1303 -
Luu, Thuan Moc
2114 Senter Rd Ste 18, San Jose CA 95112-2608