Seeburger, Jack

Seeburger, Jack is an sole proprietor health care provider with primary practice located at 11201 Benton St , Loma Linda CA 92357-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Seeburger, Jack can be contacted via phone (909) 825-7084.

Contact Information

Primary practice address
11201 Benton St Loma Linda CA 92357-1000
Phone: (909) 825-7084
Fax: (909) 777-3225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G083506 California

Profile Details

NPI number 1255344727
LBN Legal business name Seeburger, Jack
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Jul 9th, 2007 - about 19 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 1255344727 NPPES
Colorado MEDICAID 01319854

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