Jepma, John W

Jepma, John W is an individual health care provider with primary practice located at 161 N Causeway , New Smyrna Beach FL 32169-5303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jepma, John W can be contacted via phone (386) 424-1584.

Contact Information

Primary practice address
161 N Causeway New Smyrna Beach FL 32169-5303
Phone: (386) 424-1584
Fax: (386) 410-4800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 222975 New York

Profile Details

NPI number 1669421889
LBN Legal business name Jepma, John W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Feb 15th, 2019 - about 7 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 1669421889 NPPES
New York MEDICAID 00354316

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