Seffinger, Mickey Avram
Seffinger, Mickey Avram is an individual health care provider with primary practice located at 795 E. Second St. Suite 5, Pomona CA 91766-2007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Seffinger, Mickey Avram can be contacted via phone (909) 865-2565.Contact Information
Primary practice address
795 E. Second St. Suite 5
Pomona CA 91766-2007
Phone: (909) 865-2565
Fax: (909) 865-2955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 20A5745 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5745 | California |
Profile Details
| NPI number | 1962521757 |
|---|---|
| LBN Legal business name | Seffinger, Mickey Avram |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jun 21st, 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 | 1962521757 | NPPES |
| California | Other | BZ219Z | MEDICARE PTAN SO CA |
| California | Other | BZ219X | MEDICARE PTAN SO CA |
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