Johns, Bert Jay
Johns, Bert Jay is an sole proprietor health care provider with primary practice located at 1800 Sullivan Ave Suite 507, Daly City CA 94015-2225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johns, Bert Jay can be contacted via phone (650) 994-9936.Contact Information
Primary practice address
1800 Sullivan Ave Suite 507
Daly City CA 94015-2225
Phone: (650) 994-9936
Fax: (650) 994-2016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G62546 | California |
Profile Details
| NPI number | 1053395848 |
|---|---|
| LBN Legal business name | Johns, Bert Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Apr 29th, 2009 - about 17 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 | 1053395848 | NPPES |
| California | MEDICAID | 00G625460 |
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