Organization
ERIC W. JAHNKE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WILLIAM JAHNKE M.D. (PRESIDENT)
(805) 922-6991
Entity
Organization
Contact information
Practice address
1311 S MILLER ST, SUITE 101, SANTA MARIA, CA 93454-6900
(805) 922-6991
Mailing address
1311 S MILLER ST, SUITE 101, SANTA MARIA, CA 93454-6900
(805) 922-6991
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G40086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G400860
—
CA
01
—
100000707
RAILROAD MEDICARE
GA
Enumeration date
10/24/2007
Last updated
05/07/2008
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