NPI 1063723781 JACOB O WARDWELL DO NOVATO CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jacob O Wardwell - NPI: 1063723781

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JACOB O WARDWELL
NPI Number: 1063723781
Entity Type Code: Individual (1)
Gender: M
Credentials: DO
License Number: OS11640
Business Practice Address: 246 1st Street #101
San Francisco, CA - 94105
Business Phone Number: 4154952225
Business Fax Number: 4154952228
Mailing Address: P.o. Box 1848,
NOVATO
State: CA
Postal Code: 94948
Phone Number: 4158927560
Fax Number: 4158927509
NPI Enumeration Date: 06/28/2010
NPI Last Update Date: 04/03/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: OS11640
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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