Keri, Jason Shammuel

Keri, Jason Shammuel is an sole proprietor health care provider with primary practice located at 2810 Camino Del Rio S Ste 102, San Diego CA 92108-3818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Keri, Jason Shammuel can be contacted via phone (619) 299-4374.

Contact Information

Primary practice address
2810 Camino Del Rio S Ste 102 San Diego CA 92108-3818
Phone: (619) 299-4374
Fax: (866) 611-4220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X A82017 California

Profile Details

NPI number 1811915812
LBN Legal business name Keri, Jason Shammuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Sep 4th, 2014 - about 10 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 1811915812 NPPES
California MEDICAID 00A920170

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