Mayeda, Thomas K

Mayeda, Thomas K is an individual health care provider with primary practice located at 7373 W Jefferson Ave #103, Lakewood CO 80235-2038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mayeda, Thomas K can be contacted via phone (303) 989-1284.

Contact Information

Primary practice address
7373 W Jefferson Ave #103 Lakewood CO 80235-2038
Phone: (303) 989-1284
Fax: (303) 988-6229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21404 Colorado

Profile Details

NPI number 1609873306
LBN Legal business name Mayeda, Thomas K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 31st, 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 1609873306 NPPES
Colorado Other 66163 BLUE CROSS/BLUE SHIELD
Colorado MEDICAID 012-140-48 BLUE CROSS/BLUE SHIELD

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