Jack, Alexander Robert
Jack, Alexander Robert is an individual health care provider with primary practice located at 600 Corporate Dr Ste 240 , Ladera Ranch CA 92694-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jack, Alexander Robert can be contacted via phone (949) 364-8411.Contact Information
Primary practice address
600 Corporate Dr Ste 240
Ladera Ranch CA 92694-2111
Phone: (949) 364-8411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | C179601 | California |
Profile Details
| NPI number | 1346482627 |
|---|---|
| LBN Legal business name | Jack, Alexander Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Dec 22nd, 2022 - about 4 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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