Small, Eric J.
Small, Eric J. is an sole proprietor health care provider with primary practice located at 1600 Divisadero St , San Francisco CA 94115-3010. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Small, Eric J. can be contacted via phone (415) 353-7171.Contact Information
Primary practice address
1600 Divisadero St
San Francisco CA 94115-3010
Phone: (415) 353-7171
Fax: (415) 353-7093
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G61618 | California |
Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | G61618 | California |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | G61618 | California |
Profile Details
NPI number | 1437117454 |
---|---|
LBN Legal business name | Small, Eric J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 1st, 2006 |
Last updated | Aug 20th, 2012 - about 13 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 | 1437117454 | NPPES |
California | MEDICAID | 0G6161800 |
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