Betman, Jeffrey J.

Betman, Jeffrey J. is an individual health care provider with primary practice located at 6039 W Belmont Ave , Chicago IL 60634-5116. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Betman, Jeffrey J. can be contacted via phone (773) 745-1919.

Contact Information

Primary practice address
6039 W Belmont Ave Chicago IL 60634-5116
Phone: (773) 745-1919
Fax: (773) 745-1998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004531 Illinois

Profile Details

NPI number 1891793907
LBN Legal business name Betman, Jeffrey J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Nov 16th, 2007 - about 17 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 1891793907 NPPES
Illinois MEDICAID 016004531
Illinois Other 60001764

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