Bacharach, Jason

Bacharach, Jason is an individual health care provider with primary practice located at 104 Lynch Creek Way Suite 15, Petaluma CA 94954-2355. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Bacharach, Jason can be contacted via phone (707) 762-3573.

Contact Information

Primary practice address
104 Lynch Creek Way Suite 15 Petaluma CA 94954-2355
Phone: (707) 762-3573
Fax: (707) 762-6873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G73984 California
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X G73984 California

Profile Details

NPI number 1639160112
LBN Legal business name Bacharach, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 7th, 2023 - about 3 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 1639160112 NPPES
California Other 180025762 PALMETTO GBA
California MEDICAID G73984 PALMETTO GBA

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