Jain, Anita
Jain, Anita is an individual health care provider with primary practice located at 1200 B Gale Wilson Blvd , Fairfield CA 94533-3552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jain, Anita can be contacted via phone (707) 864-5383.Contact Information
Primary practice address
1200 B Gale Wilson Blvd
Fairfield CA 94533-3552
Phone: (707) 864-5383
Fax: (707) 399-2651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A76657 | California |
Profile Details
| NPI number | 1962508713 |
|---|---|
| LBN Legal business name | Jain, Anita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1962508713 | NPPES |
| California | Other | A76657 | MEDICAL LICENSE |
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