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:
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Health care specialties

SpecialtyCodeLicense #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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