Downhill, Jack Everett
Downhill, Jack Everett is an individual health care provider with primary practice located at 3031 S Denison Ave , San Pedro CA 90731-6703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Downhill, Jack Everett can be contacted via phone (323) 379-3611.Contact Information
Primary practice address
3031 S Denison Ave
San Pedro CA 90731-6703
Phone: (323) 379-3611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD180816 | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 198053 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A50066 | California |
Profile Details
| NPI number | 1467522813 |
|---|---|
| LBN Legal business name | Downhill, Jack Everett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Sep 8th, 2020 - about 6 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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