Kirkman, Jason

Kirkman, Jason is an individual health care provider with primary practice located at 721 River Drive Suite A, Fort Bragg CA 95437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kirkman, Jason can be contacted via phone (707) 961-4631.

Contact Information

Primary practice address
721 River Drive Suite A Fort Bragg CA 95437
Phone: (707) 961-4631
Fax: (707) 964-1192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G47142 California

Profile Details

NPI number 1487665410
LBN Legal business name Kirkman, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 19th, 2012 - about 13 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 1487665410 NPPES
California Other 00G471420 MEDI-CAL

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