Pearson, Jack Alan

Pearson, Jack Alan is an individual health care provider with primary practice located at 3288 Bell Rd , Auburn CA 95603-9243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pearson, Jack Alan can be contacted via phone (530) 745-0700.

Contact Information

Primary practice address
3288 Bell Rd Auburn CA 95603-9243
Phone: (530) 745-0700
Fax: (530) 745-0701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G52964 California

Profile Details

NPI number 1558362343
LBN Legal business name Pearson, Jack Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 21st, 2022 - about 4 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 1558362343 NPPES
California MEDICAID 00G529640

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