Rizkallah, Jean A.

Rizkallah, Jean A. is an sole proprietor health care provider with primary practice located at 450 Fourth Avenue Ste. 408, Chula Vista CA 91910-4430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rizkallah, Jean A. can be contacted via phone (619) 691-1990.

Contact Information

Primary practice address
450 Fourth Avenue Ste. 408 Chula Vista CA 91910-4430
Phone: (619) 691-1990
Fax: (619) 691-5977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A93296 California

Profile Details

NPI number 1003800368
LBN Legal business name Rizkallah, Jean A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2005
Last updated Mar 30th, 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 1003800368 NPPES
Indiana MEDICAID 200430140

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