National Provider Identifier Database

JACK PAVICH
Radiography Radiologic Technologist

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

JACK PAVICH
9411 SUNNYSIDE AVE
BEN LOMOND, CA95005-9345
Phone: 831-252-1114
Fax:
Website:
Specialty Taxonomy Code
* Radiography Radiologic Technologist 2471C3402X

* Indicates primary specialty

NPI Profile & details for JACK PAVICH

NPI Number 1467825703
Credentials
Entity Individual
Enumeration date 11/09/2015
Last updated 11/09/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: RHF00105782
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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