Lim, Jackson M

Lim, Jackson M is an sole proprietor health care provider with primary practice located at 1531 Plumas Ct Suite A, Yuba City CA 95991-2960. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Lim, Jackson M can be contacted via phone (530) 674-9737.

Contact Information

Primary practice address
1531 Plumas Ct Suite A Yuba City CA 95991-2960
Phone: (530) 674-9737
Fax: (530) 674-9734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4263 California
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E4263 California

Profile Details

NPI number 1073594727
LBN Legal business name Lim, Jackson M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Oct 29th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073594727 NPPES
California MEDICAID 000E42630

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