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JERRYL LYNN RUBIN M.D. NPI 1700868593


NPI Information

NPI: 1700868593
Provider Name: JERRYL LYNN RUBIN, M.D.
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Individual

Specialization: Clinical Neurophysiology

Address:
1600 WEEOT WAY
ARCATA, CA
ZIP 95521
Phone: (707) 825-5000
Get Directions

Jerryl Lynn Rubin, M.D. is a clinical neurophysiology psychiatry neurology in Arcata, CA. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). Jerryl Lynn Rubin, M.D. NPI is 1700868593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 WEEOT WAY
ARCATA, CA
ZIP 95521-734
Phone: (707) 825-5000

The enumeration date for this NPI number is 11/17/2005 and was last updated on 4/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyG48674CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G48674MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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