Mckeown, Jodi

Mckeown, Jodi is an individual health care provider with primary practice located at 1001 Potrero Ave , San Francisco CA 94110-3518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mckeown, Jodi can be contacted via phone (415) 206-8303.

Contact Information

Primary practice address
1001 Potrero Ave San Francisco CA 94110-3518
Phone: (415) 206-8303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD-154 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 14883 California

Profile Details

NPI number 1821065236
LBN Legal business name Mckeown, Jodi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated May 3rd, 2012 - about 14 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 1821065236 NPPES
Hawaii MEDICAID 574279

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