Licht, Jonathan M
Licht, Jonathan M is an sole proprietor health care provider with primary practice located at 4033 3Rd Ave Suite 206, San Diego CA 92103-2117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Licht, Jonathan M can be contacted via phone (619) 294-9292.Contact Information
Primary practice address
4033 3Rd Ave Suite 206
San Diego CA 92103-2117
Phone: (619) 294-9292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G43892 | California |
Profile Details
| NPI number | 1356321988 |
|---|---|
| LBN Legal business name | Licht, Jonathan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jan 11th, 2010 - about 15 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 | 1356321988 | NPPES |
| California | MEDICAID | 00G438921 |
Popular Providers
-
Jablecki, Charles Kasmir
200 W Arbor Dr , San Diego CA 92103-9000 -
Lessig, Stephanie Lorraine
200 W Arbor Dr , San Diego CA 92103-9000 -
Apides, Joel M
34800 Bob Wilson Dr Nmcsd Neurosciences Suite 201, San Diego CA 92134-1098 -
Aalbers, John Alan
4060 4Th Ave Suite 700, San Diego CA 92103-2116 -
Lasker, Bruce R
3737 Moraga Ave Suite A-5, San Diego CA 92117-5404 -
Kritchevsky, Mark
Ucsd Medical Center 200 West Arbor Drive Mc 8201, San Diego CA 92103-8201 -
Dove, Kristi Ann
4094 4Th Ave , San Diego CA 92103-2143 -
Ellis, Ronald J
200 W Arbor Dr , San Diego CA 92103-9000