Panzarella, Jacob Panquale

Panzarella, Jacob Panquale is an sole proprietor health care provider with primary practice located at 4040 Civic Center Dr Suite 200, San Rafael CA 94903-4150. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Panzarella, Jacob Panquale can be contacted via phone (415) 381-0300.

Contact Information

Primary practice address
4040 Civic Center Dr Suite 200 San Rafael CA 94903-4150
Phone: (415) 381-0300
Fax: (415) 898-4361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY3581 California

Profile Details

NPI number 1164738464
LBN Legal business name Panzarella, Jacob Panquale
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2010
Last updated Aug 24th, 2010 - about 15 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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