Cipa-Tatum, Jillian E
Cipa-Tatum, Jillian E is an sole proprietor health care provider with primary practice located at 2070 Clinton Ave Alameda Inpatient Medicine- Alameda Hospital, Alameda CA 94501-4399. She recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Long Term Care Hospital, Hospitals / General Acute Care Hospital, Hospitals / Psychiatric Hospital, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Cipa-Tatum, Jillian E can be contacted via phone (510) 814-4397.Contact Information
Primary practice address
2070 Clinton Ave Alameda Inpatient Medicine- Alameda Hospital
Alameda CA 94501-4399
Phone: (510) 814-4397
Fax: (510) 814-4391
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A12882 | California |
Hospitals / Long Term Care Hospital | 282E00000X | 20A12882 | California |
Hospitals / General Acute Care Hospital | 282N00000X | 20A12882 | California |
Hospitals / Psychiatric Hospital | 283Q00000X | 20A12882 | California |
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 20A12882 | California |
Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 20A12882 | California |
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities | 320700000X | 20A12882 | California |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 20A12882 | California |
Profile Details
NPI number | 1629410584 |
---|---|
LBN Legal business name | Cipa-Tatum, Jillian E |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2013 |
Last updated | May 25th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629410584 | NPPES |
California | Other | 20A12882 | OSTEOPATHIC MEDICAL BOARD LICENSE NUMBER |
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