Kabak, Jack
Kabak, Jack is an individual health care provider with primary practice located at 1225 Crane St Suite 200, Menlo Park CA 94025-4253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kabak, Jack can be contacted via phone (650) 324-1156.Contact Information
Primary practice address
1225 Crane St Suite 200
Menlo Park CA 94025-4253
Phone: (650) 324-1156
Fax: (650) 324-1156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A29333 | California |
Profile Details
| NPI number | 1386735249 |
|---|---|
| LBN Legal business name | Kabak, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 30th, 2015 - about 11 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 | 1386735249 | NPPES |
| California | MEDICAID | 00A293330 |
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