Niksch, Jason

Niksch, Jason is an individual health care provider with primary practice located at 1950 Alameda De Las Pulgas , San Mateo CA 94403-1222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Niksch, Jason can be contacted via phone (650) 573-3571.

Contact Information

Primary practice address
1950 Alameda De Las Pulgas San Mateo CA 94403-1222
Phone: (650) 573-3571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A74019 California

Profile Details

NPI number 1609921667
LBN Legal business name Niksch, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 15th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609921667 NPPES
California MEDICAID 00A740190

Popular Providers