Jamil, Tariq

Jamil, Tariq is an sole proprietor health care provider with primary practice located at 399 E Highland Ave Suite 502, San Bernardino CA 92404-3808. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jamil, Tariq can be contacted via phone (909) 883-3838.

Contact Information

Primary practice address
399 E Highland Ave Suite 502 San Bernardino CA 92404-3808
Phone: (909) 883-3838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A70628 California

Profile Details

NPI number 1629159876
LBN Legal business name Jamil, Tariq
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Mar 7th, 2023 - about 3 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 1629159876 NPPES
California MEDICAID 00A706280

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