Niksch, Jason
Niksch, Jason is an individual health care provider with primary practice located at 1950 Alameda De Las Pulgas , San Mateo CA 94403-1222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Niksch, Jason can be contacted via phone (650) 573-3571.Contact Information
Primary practice address
1950 Alameda De Las Pulgas
San Mateo CA 94403-1222
Phone: (650) 573-3571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A74019 | California |
Profile Details
| NPI number | 1609921667 |
|---|---|
| LBN Legal business name | Niksch, Jason |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jan 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609921667 | NPPES |
| California | MEDICAID | 00A740190 |
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