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
Fax: (626) 335-1840
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942292602 NPPES
California MEDICAID GRE001090

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