Mcaninch, Jack Weldon

Mcaninch, Jack Weldon is an individual health care provider with primary practice located at 1001 Potrero Avenue Rm 3A20, San Francisco CA 94110-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcaninch, Jack Weldon can be contacted via phone (415) 206-8806.

Contact Information

Primary practice address
1001 Potrero Avenue Rm 3A20 San Francisco CA 94110-3518
Phone: (415) 206-8806
Fax: (415) 206-5153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G14761 California

Profile Details

NPI number 1164476628
LBN Legal business name Mcaninch, Jack Weldon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 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 1164476628 NPPES
California MEDICAID 00G147610

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