Jamora, Augusto M.

Jamora, Augusto M. is an sole proprietor health care provider with primary practice located at 22250 Providence Dr Suite 207, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jamora, Augusto M. can be contacted via phone (248) 552-0360.

Contact Information

Primary practice address
22250 Providence Dr Suite 207 Southfield MI 48075-4825
Phone: (248) 552-0360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 43-01-033507 Michigan

Profile Details

NPI number 1720001613
LBN Legal business name Jamora, Augusto M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated May 6th, 2008 - about 18 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 1720001613 NPPES
Michigan Other 0637767 BLUE CROSS BLUE SHIELD
Michigan Other 43-01-033507 BLUE CROSS BLUE SHIELD

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