Eaton, Jeffrey S.
Eaton, Jeffrey S. is an individual health care provider with primary practice located at 12395 El Camino Real Suite 200, San Diego CA 92130-3082. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Eaton, Jeffrey S. can be contacted via phone (858) 755-6647.Contact Information
Primary practice address
12395 El Camino Real Suite 200
San Diego CA 92130-3082
Phone: (858) 755-6647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A61523 | California |
Profile Details
| NPI number | 1316913650 |
|---|---|
| LBN Legal business name | Eaton, Jeffrey S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Dec 18th, 2012 - about 14 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 | 1316913650 | NPPES |
| California | MEDICAID | 00A615230 |
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