Pace, Jonathan
Pace, Jonathan is an individual health care provider with primary practice located at 210 Canal St , King City CA 93930-3432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pace, Jonathan can be contacted via phone (831) 385-5471.Contact Information
Primary practice address
210 Canal St
King City CA 93930-3432
Phone: (831) 385-5471
Fax: (831) 385-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G47910 | California |
Profile Details
| NPI number | 1477539831 |
|---|---|
| LBN Legal business name | Pace, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477539831 | NPPES |
| California | MEDICAID | G479102 |
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