Massengill, James Kevin

Massengill, James Kevin is an individual health care provider with primary practice located at 3553 Whipple Road , Union City CA 94587-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Massengill, James Kevin can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
3553 Whipple Road Union City CA 94587-1507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G65344 California

Profile Details

NPI number 1144308990
LBN Legal business name Massengill, James Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144308990 NPPES
California MEDICAID 00G653440

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