Mednick, Jerome Phillip
Mednick, Jerome Phillip is an sole proprietor health care provider with primary practice located at 7 Locksly Ln , San Rafael CA 94901-2426. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mednick, Jerome Phillip can be contacted via phone (415) 457-1458.Contact Information
Primary practice address
7 Locksly Ln
San Rafael CA 94901-2426
Phone: (415) 457-1458
Fax: (415) 457-0602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A20527 | California |
Profile Details
| NPI number | 1104971928 |
|---|---|
| LBN Legal business name | Mednick, Jerome Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| 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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