Thygeson, Jonathan Eric

Thygeson, Jonathan Eric is an sole proprietor health care provider with primary practice located at 755 University Avenue , Sacramento CA 95825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Thygeson, Jonathan Eric can be contacted via phone (916) 924-8754.

Contact Information

Primary practice address
755 University Avenue Sacramento CA 95825
Phone: (916) 924-8754
Fax: (916) 924-1739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A75063 California

Profile Details

NPI number 1790744704
LBN Legal business name Thygeson, Jonathan Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Dec 17th, 2014 - about 11 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 1790744704 NPPES
Maryland MEDICAID 407017800
Maryland Other 75859903

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