Skvaril, Jacqueline Rae
Skvaril, Jacqueline Rae is an individual health care provider with primary practice located at 3536 Mendocino Ave Ste 300, Santa Rosa CA 95403-3634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Skvaril, Jacqueline Rae can be contacted via phone (707) 544-3411.Contact Information
Primary practice address
3536 Mendocino Ave Ste 300
Santa Rosa CA 95403-3634
Phone: (707) 544-3411
Fax: (707) 544-0834
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G66776 | California |
Profile Details
NPI number | 1497748768 |
---|---|
LBN Legal business name | Skvaril, Jacqueline Rae |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2005 |
Last updated | Nov 10th, 2021 - about 4 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 | 1497748768 | NPPES |
California | MEDICAID | 00G667760 | |
California | Other | P00410333 | |
California | Other | 00G667760 |
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