Splan, Jerome
Splan, Jerome is an individual health care provider with primary practice located at 16970 San Fernando Mission Blvd , Granada Hills CA 91344-4259. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Splan, Jerome can be contacted via phone (818) 360-7522.Contact Information
Primary practice address
16970 San Fernando Mission Blvd
Granada Hills CA 91344-4259
Phone: (818) 360-7522
Fax: (818) 363-8859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4464T | California |
Profile Details
| NPI number | 1366416281 |
|---|---|
| LBN Legal business name | Splan, Jerome |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Sep 6th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366416281 | NPPES |
| California | MEDICAID | SD0044640 |
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