Jefferson Neurology, Llc | |
822 Pine St Mount Shasta CA 96067-2137 | |
(530) 926-1039 | |
Not Available |
Full Name | Jefferson Neurology, Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 822 Pine St, Mount Shasta, California |
Authorized Official Name and Position | Zakir M Ali (OWNER) |
Authorized Official Contact | 5414825515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jefferson Neurology, Llc Po Box 1470 Phoenix OR 97535-1470 Ph: (541) 512-0511 | Jefferson Neurology, Llc 822 Pine St Mount Shasta CA 96067-2137 Ph: (530) 926-1039 |
NPI Number | 1114239720 |
---|---|
Provider Enumeration Date | 07/12/2010 |
Last Update Date | 07/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114239720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A88303 (California) | Primary |
Mbs Integrative Psychiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 214 E Lake St, Mount Shasta, CA 96067 Phone: 530-435-5048 Fax: 602-603-5084 | |
Diana Muncy Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ream Ave, Mount Shasta, CA 96067 Phone: 530-941-2259 | |
County Of Siskiyou Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Ream Ave, Mount Shasta, CA 96067 Phone: 530-918-7200 Fax: 530-918-7216 | |
Revive Medical Group Ca Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 Pine St, Mount Shasta, CA 96067 Phone: 203-430-1321 | |
Behavioranalystsupervisor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Mccloud Ave, Mount Shasta, CA 96067 Phone: 530-227-2883 | |
Blair Rhodes Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 N Mount Shasta Blvd, Mount Shasta, CA 96067 Phone: 530-925-4480 Fax: 530-926-3450 |