Jardine, Connie

Jardine, Connie is an sole proprietor health care provider with primary practice located at 2299 Post St Suite 107, San Francisco CA 94115-3441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Jardine, Connie can be contacted via phone (415) 345-9400.

Contact Information

Primary practice address
2299 Post St Suite 107 San Francisco CA 94115-3441
Phone: (415) 345-9400
Fax: (415) 345-8049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 12496 California

Profile Details

NPI number 1497806301
LBN Legal business name Jardine, Connie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 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 1497806301 NPPES
California Other 12496 PHYSICIAN ASSISTANT NUMBE

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