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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1215022736 | NPPES |
| California | MEDICAID | 1992460794 |
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