Jacoby, Gail Tenikat

Jacoby, Gail Tenikat is an individual health care provider with primary practice located at 1036 Laurel St , San Carlos CA 94070. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Jacoby, Gail Tenikat can be contacted via phone (650) 631-7000.

Contact Information

Primary practice address
1036 Laurel St San Carlos CA 94070
Phone: (650) 631-7000
Fax: (650) 631-2309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G25405 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G25405 California

Profile Details

NPI number 1912987314
LBN Legal business name Jacoby, Gail Tenikat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 17th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912987314 NPPES
California Other 756071264 RAILROAD MEDICARE

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