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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1114018199 | NPPES |
| California | MEDICAID | 00G229750 |
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