Timacdog, Jeffensen Jay

Timacdog, Jeffensen Jay is an sole proprietor health care provider with primary practice located at 6920 Miramar Rd Ste 326 , San Diego CA 92121-2642. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Timacdog, Jeffensen Jay can be contacted via phone (619) 345-0086.

Contact Information

Primary practice address
6920 Miramar Rd Ste 326 San Diego CA 92121-2642
Phone: (619) 345-0086
Fax: (619) 345-0086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95008823 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP95008823 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95008823 California

Profile Details

NPI number 1083103956
LBN Legal business name Timacdog, Jeffensen Jay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2018
Last updated Jun 25th, 2024 - about 2 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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