Shubin, James A
Shubin, James A is an sole proprietor health care provider with primary practice located at 7410 Blossomwood Ave , Sebastopol CA 95472-4345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shubin, James A can be contacted via phone (707) 569-4897.Contact Information
Primary practice address
7410 Blossomwood Ave
Sebastopol CA 95472-4345
Phone: (707) 569-4897
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G32561 | California |
Profile Details
| NPI number | 1295723518 |
|---|---|
| LBN Legal business name | Shubin, James A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Dec 26th, 2019 - about 6 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 | 1295723518 | NPPES |
| California | MEDICAID | 00G325610 |
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