Two, Jintau Ernest
Two, Jintau Ernest is an individual health care provider with primary practice located at 15888 Main St #112A, Hesperia CA 92345-3452. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Two, Jintau Ernest can be contacted via phone (760) 949-2242.Contact Information
Primary practice address
15888 Main St #112A
Hesperia CA 92345-3452
Phone: (760) 949-2242
Fax: (760) 949-3131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | B606T | California |
Profile Details
| NPI number | 1003897075 |
|---|---|
| LBN Legal business name | Two, Jintau Ernest |
| Credentials | OP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003897075 | NPPES |
| California | MEDICAID | SD0086061 |
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