Sugarman, Jeffrey Louis

Sugarman, Jeffrey Louis is an individual health care provider with primary practice located at 2725 Mendocino Ave , Santa Rosa CA 95403-2805. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Sugarman, Jeffrey Louis can be contacted via phone (707) 545-4537.

Contact Information

Primary practice address
2725 Mendocino Ave Santa Rosa CA 95403-2805
Phone: (707) 545-4537
Fax: (707) 545-6726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X G85304 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G85304 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G85304 California

Profile Details

NPI number 1548255482
LBN Legal business name Sugarman, Jeffrey Louis
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Mar 28th, 2017 - about 7 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 1548255482 NPPES
California MEDICAID 1548255482
California MEDICAID 00G853040
California Other P01774457

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