Jawitz, Jack C
Jawitz, Jack C is an sole proprietor health care provider with primary practice located at 2919 26Th St W , Bradenton FL 34205-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jawitz, Jack C can be contacted via phone (941) 755-2255.Contact Information
Primary practice address
2919 26Th St W
Bradenton FL 34205-3737
Phone: (941) 755-2255
Fax: (941) 755-3349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME44267 | Florida |
Profile Details
| NPI number | 1316934714 |
|---|---|
| LBN Legal business name | Jawitz, Jack C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Aug 4th, 2010 - about 14 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 | 1316934714 | NPPES |
| Florida | MEDICAID | 068779100 |
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