Amundson, Jeffrey A
Amundson, Jeffrey A is an individual health care provider with primary practice located at 205 S Garrison St , Lakewood CO 80226-2843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Amundson, Jeffrey A can be contacted via phone (303) 237-2779.Contact Information
Primary practice address
205 S Garrison St
Lakewood CO 80226-2843
Phone: (303) 237-2779
Fax: (303) 237-4428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35488 | Colorado |
Profile Details
| NPI number | 1477524056 |
|---|---|
| LBN Legal business name | Amundson, Jeffrey A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Dec 29th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477524056 | NPPES |
| Other | 80226A003 | TRICARE | |
| Other | 080124824 | TRICARE | |
| MEDICAID | 01354885 | TRICARE |
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