Degrandmont, Allen Jerome
Degrandmont, Allen Jerome is an sole proprietor health care provider with primary practice located at 188 E 17Th St Suite #101, Costa Mesa CA 92627-3763. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Degrandmont, Allen Jerome can be contacted via phone (949) 646-7110.Contact Information
Primary practice address
188 E 17Th St Suite #101
Costa Mesa CA 92627-3763
Phone: (949) 646-7110
Fax: (949) 646-3957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E1767 | California |
Profile Details
| NPI number | 1962450833 |
|---|---|
| LBN Legal business name | Degrandmont, Allen Jerome |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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