Sydejko, Jeb

Sydejko, Jeb is an individual health care provider with primary practice located at 14124 Foothill Blvd , Sylmar CA 91342-8049. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Sydejko, Jeb can be contacted via phone (818) 367-5939.

Contact Information

Primary practice address
14124 Foothill Blvd Sylmar CA 91342-8049
Phone: (818) 367-5939
Fax: (818) 362-2179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 39607 California

Profile Details

NPI number 1316062177
LBN Legal business name Sydejko, Jeb
Credentials RPH, PHARM D, JD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 17 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 1316062177 NPPES
California Other 39607 RPH LICENSE NUMBER

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