Mckeown, Jodi
Mckeown, Jodi is an individual health care provider with primary practice located at 1001 Potrero Ave , San Francisco CA 94110-3518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mckeown, Jodi can be contacted via phone (415) 206-8303.Contact Information
Primary practice address
1001 Potrero Ave
San Francisco CA 94110-3518
Phone: (415) 206-8303
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | AMD-154 | Hawaii |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 14883 | California |
Profile Details
NPI number | 1821065236 |
---|---|
LBN Legal business name | Mckeown, Jodi |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | May 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821065236 | NPPES |
Hawaii | MEDICAID | 574279 |
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