Lande, Jane M

Lande, Jane M is an individual health care provider with primary practice located at 43971 Bascell Road , Fremont CA 94538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lande, Jane M can be contacted via phone (510) 979-0603.

Contact Information

Primary practice address
43971 Bascell Road Fremont CA 94538
Fax: (510) 979-0798
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G40646 California

Profile Details

NPI number 1619917804
LBN Legal business name Lande, Jane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
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 1619917804 NPPES
California MEDICAID 00G406460

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