Dejesus, James M

Dejesus, James M is an individual health care provider with primary practice located at 1183 New Haven Rd , Naugatuck CT 06770-5033. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Dejesus, James M can be contacted via phone (203) 723-7884.

Contact Information

Primary practice address
1183 New Haven Rd Naugatuck CT 06770-5033
Phone: (203) 723-7884
Fax: (203) 723-2946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000454 Connecticut
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 000454 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000454 Connecticut

Profile Details

NPI number 1083727556
LBN Legal business name Dejesus, James M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 19th, 2023 - about 3 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 1083727556 NPPES
Connecticut MEDICAID 004083721

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