Van Weezep, Jake Daniel

Van Weezep, Jake Daniel is an individual health care provider with primary practice located at 101 Bodin Cir , Fairfield CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Van Weezep, Jake Daniel can be contacted via phone (707) 423-7961.

Contact Information

Primary practice address
101 Bodin Cir Fairfield CA 94535-1809
Phone: (707) 423-7961
Fax: (707) 423-3501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02006978A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02006978A Indiana

Profile Details

NPI number 1720669393
LBN Legal business name Van Weezep, Jake Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2021
Last updated Jul 15th, 2024 - about 5 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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