Small, George H

Small, George H is an sole proprietor health care provider with primary practice located at 1800 Western Ave Ste 101 , San Bernardino CA 92411-1352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Small, George H can be contacted via phone (909) 885-1542.

Contact Information

Primary practice address
1800 Western Ave Ste 101 San Bernardino CA 92411-1352
Phone: (909) 885-1542
Fax: (909) 327-2756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A34324 California
Other Service Providers / Specialist 174400000X A34324 California

Profile Details

NPI number 1215022736
LBN Legal business name Small, George H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jan 30th, 2024 - about 11 months 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 1215022736 NPPES
California MEDICAID 1992460794

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