Vanbezooyen, Jack

Vanbezooyen, Jack is an sole proprietor health care provider with primary practice located at 240 Tamal Vista Blvd , Corte Madera CA 94925-1132. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Vanbezooyen, Jack can be contacted via phone (916) 969-7074.

Contact Information

Primary practice address
240 Tamal Vista Blvd Corte Madera CA 94925-1132
Phone: (916) 969-7074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 171751 California

Profile Details

NPI number 1346773504
LBN Legal business name Vanbezooyen, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2017
Last updated May 31st, 2022 - about 2 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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