Jue, Jack

Jue, Jack is an individual health care provider with primary practice located at 8170 Laguna Blvd Suite 113, Elk Grove CA 95758-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jue, Jack can be contacted via phone (916) 478-6561.

Contact Information

Primary practice address
8170 Laguna Blvd Suite 113 Elk Grove CA 95758-7901
Phone: (916) 478-6561
Fax: (916) 478-6573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G34658 California

Profile Details

NPI number 1497738306
LBN Legal business name Jue, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jan 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497738306 NPPES
California MEDICAID 00G346580

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