Nhan, Jack

Nhan, Jack is an sole proprietor health care provider with primary practice located at 1310 Club Dr , Vallejo CA 94592-1187. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nhan, Jack can be contacted via phone (707) 638-5809.

Contact Information

Primary practice address
1310 Club Dr Vallejo CA 94592-1187
Phone: (707) 638-5809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00000000000000 California

Profile Details

NPI number 1174197131
LBN Legal business name Nhan, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2021
Last updated May 14th, 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 1174197131 NPPES
California MEDICAID 00000000000000

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