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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437117454 NPPES
California MEDICAID 0G6161800

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