Tam, John W.
Tam, John W. is an sole proprietor health care provider with primary practice located at 222 E Route 66 , Glendora CA 91740-6241. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Tam, John W. can be contacted via phone (626) 914-4661.Contact Information
Primary practice address
222 E Route 66
Glendora CA 91740-6241
Phone: (626) 914-4661
Fax: (626) 335-1840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E2153 | California |
Profile Details
| NPI number | 1942292602 |
|---|---|
| LBN Legal business name | Tam, John W. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jan 21st, 2011 - about 15 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 | 1942292602 | NPPES |
| California | MEDICAID | GRE001090 |
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