Druet, Jack Jacob
Druet, Jack Jacob is an individual health care provider with primary practice located at 25495 Medical Center Dr Suite 102, Murrieta CA 92562-5963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Druet, Jack Jacob can be contacted via phone (951) 506-9536.Contact Information
Primary practice address
25495 Medical Center Dr Suite 102
Murrieta CA 92562-5963
Phone: (951) 506-9536
Fax: (951) 693-4631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G70999 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G70999 | California |
Profile Details
| NPI number | 1265416424 |
|---|---|
| LBN Legal business name | Druet, Jack Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265416424 | NPPES |
| California | Other | DC4371 | RAILROAD MEDICARE GRP # |
| California | Other | P00168751 | RAILROAD MEDICARE GRP # |
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