Harvey, Jack Andrew

Harvey, Jack Andrew is an sole proprietor health care provider with primary practice located at 1234 E North St Ste 106, Manteca CA 95336-4961. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Harvey, Jack Andrew can be contacted via phone (209) 823-2700.

Contact Information

Primary practice address
1234 E North St Ste 106 Manteca CA 95336-4961
Phone: (209) 823-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5204 California
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E-5204 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E-5204 California

Profile Details

NPI number 1033475678
LBN Legal business name Harvey, Jack Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2012
Last updated Aug 17th, 2016 - about 10 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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