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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1497748768 NPPES
California MEDICAID 00G667760
California Other P00410333
California Other 00G667760

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