Amen, Jeffrey Thomas

Amen, Jeffrey Thomas is an sole proprietor health care provider with primary practice located at 1615 Hill Rd Ste E, Novato CA 94947-4338. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Amen, Jeffrey Thomas can be contacted via phone (415) 898-4828.

Contact Information

Primary practice address
1615 Hill Rd Ste E Novato CA 94947-4338
Phone: (415) 898-4828
Fax: (415) 898-4878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3461 California

Profile Details

NPI number 1891771325
LBN Legal business name Amen, Jeffrey Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Feb 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891771325 NPPES
California MEDICAID 000E34610

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