Pavich, Jack

Pavich, Jack is an sole proprietor health care provider with primary practice located at 9411 Sunnyside Ave , Ben Lomond CA 95005-9345. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Pavich, Jack can be contacted via phone (831) 252-1114.

Contact Information

Primary practice address
9411 Sunnyside Ave Ben Lomond CA 95005-9345
Phone: (831) 252-1114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X RHF00105782 California

Profile Details

NPI number 1467825703
LBN Legal business name Pavich, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2015
Last updated Nov 9th, 2015 - about 9 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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