Gacusan, Jeremiah

Gacusan, Jeremiah is an sole proprietor health care provider with primary practice located at 251 Llewellyn Ave , Campbell CA 95008-1940. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Gacusan, Jeremiah can be contacted via phone (916) 388-6372.

Contact Information

Primary practice address
251 Llewellyn Ave Campbell CA 95008-1940
Phone: (916) 388-6372
Fax: (916) 779-2558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 29197 California

Profile Details

NPI number 1679987036
LBN Legal business name Gacusan, Jeremiah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2014
Last updated Jun 13th, 2014 - about 12 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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