Mishell, Jacob M.

Mishell, Jacob M. is an individual health care provider with primary practice located at 2200 Ofarrell St , San Francisco CA 94115-3357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Mishell, Jacob M. can be contacted via phone (415) 833-2000.

Contact Information

Primary practice address
2200 Ofarrell St San Francisco CA 94115-3357
Phone: (415) 833-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A71538 California

Profile Details

NPI number 1487732004
LBN Legal business name Mishell, Jacob M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 13th, 2021 - about 3 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 1487732004 NPPES
California MEDICAID 00A715380

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