Resneck, Jack S

Resneck, Jack S is an individual health care provider with primary practice located at 1701 Divisadero St 4Th Floor Dermatology Faculty Practice, San Francisco CA 94143-0316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Resneck, Jack S can be contacted via phone (415) 353-7800.

Contact Information

Primary practice address
1701 Divisadero St 4Th Floor Dermatology Faculty Practice San Francisco CA 94143-0316
Phone: (415) 353-7800
Fax: (415) 353-9654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A66722 California

Profile Details

NPI number 1760449292
LBN Legal business name Resneck, Jack S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760449292 NPPES
California MEDICAID 00A667220 PIN

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