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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912987314 | NPPES |
| California | Other | 756071264 | RAILROAD MEDICARE |
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