Jan, Ronald G

Jan, Ronald G is an individual health care provider with primary practice located at 5025 J St Suite 312, Sacramento CA 95819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jan, Ronald G can be contacted via phone (916) 288-0055.

Contact Information

Primary practice address
5025 J St Suite 312 Sacramento CA 95819
Phone: (916) 288-0055
Fax: (916) 288-0056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G229750 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G22975 California

Profile Details

NPI number 1114018199
LBN Legal business name Jan, Ronald G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Feb 28th, 2013 - about 12 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 1114018199 NPPES
California MEDICAID 00G229750

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