Kearney, John P

Kearney, John P is an sole proprietor health care provider with primary practice located at 355 E 21St St Ste C , San Bernardino CA 92404-4851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kearney, John P can be contacted via phone (909) 883-6811.

Contact Information

Primary practice address
355 E 21St St Ste C San Bernardino CA 92404-4851
Phone: (909) 883-6811
Fax: (909) 883-2494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G26058 California

Profile Details

NPI number 1144254764
LBN Legal business name Kearney, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Dec 4th, 2018 - about 8 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 1144254764 NPPES
California MEDICAID 00G260580

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