Paulo, Jerrod D

Paulo, Jerrod D is an individual health care provider with primary practice located at 13690 E 14Th St Suite 200, San Leandro CA 94578-2582. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Paulo, Jerrod D can be contacted via phone (510) 895-5511.

Contact Information

Primary practice address
13690 E 14Th St Suite 200 San Leandro CA 94578-2582
Phone: (510) 895-5511
Fax: (510) 895-5513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT 2258 California

Profile Details

NPI number 1366413064
LBN Legal business name Paulo, Jerrod D
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated May 7th, 2008 - about 16 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 1366413064 NPPES
California Other ZZZ31058Z PROVIDER TRANSACTION ACCESS NUMBER
California Other ZZZ04670Z PROVIDER TRANSACTION ACCESS NUMBER

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