Jameson, Theron Quentin

Jameson, Theron Quentin is an individual health care provider with primary practice located at 550 Redstone Ave W Ste 370 , Crestview FL 32536-6429. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jameson, Theron Quentin can be contacted via phone (850) 306-2710.

Contact Information

Primary practice address
550 Redstone Ave W Ste 370 Crestview FL 32536-6429
Phone: (850) 306-2710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 03133 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 03133 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OS19000 Florida

Profile Details

NPI number 1932101466
LBN Legal business name Jameson, Theron Quentin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 17th, 2024 - about 2 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 1932101466 NPPES
Iowa Other P00688747 RR MEDICARE
Iowa MEDICAID 1932101466 RR MEDICARE

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