Jake Daniel Van Weezep
Jake Daniel Van Weezep is a General Practice Physician in Fairfield, California. Licensed in Indiana. Registered with an NPI since 2021.
- Licensed in
- IN
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
101 Bodin CirFairfield, CA 94535-1809
Phone: (707) 423-7961
Fax: (707) 423-3501
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 02006978A (IN) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 02006978A (IN) |
Record details
| NPI number | 1720669393 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 15, 2021 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
| Mailing address | 101 Bodin Cir, Fairfield, CA 94535-1809 |
Other providers in Fairfield
-
Kevin T Roy
101 Bodin Cir, Fairfield, CA 94535-1809 · (707) 423-3792
-
Dr. Rachel Steffes, DO
David Grant Medical Center Travis Afb 101 Bodin Cir, Fairfield, CA 94533 · (210) 812-2170
-
Mitchell Streiff
101 Bodin Cir, Fairfield, CA 94535-1809 · (707) 423-3000
-
Mary Swinton
101 Bodin Cir, Fairfield, CA 94535-1809 · (707) 423-3000
-
Shelby Patti Wiggins, MD
101 Bodin Cir, Fairfield, CA 94535-1809 · (707) 423-3000