Amundson, Jeffrey A

Amundson, Jeffrey A is an individual health care provider with primary practice located at 205 S Garrison St , Lakewood CO 80226-2843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Amundson, Jeffrey A can be contacted via phone (303) 237-2779.

Contact Information

Primary practice address
205 S Garrison St Lakewood CO 80226-2843
Phone: (303) 237-2779
Fax: (303) 237-4428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35488 Colorado

Profile Details

NPI number 1477524056
LBN Legal business name Amundson, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 29th, 2008 - about 16 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 1477524056 NPPES
Other 80226A003 TRICARE
Other 080124824 TRICARE
MEDICAID 01354885 TRICARE

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