Degrandmont, Allen Jerome

Degrandmont, Allen Jerome is an sole proprietor health care provider with primary practice located at 188 E 17Th St Suite #101, Costa Mesa CA 92627-3763. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Degrandmont, Allen Jerome can be contacted via phone (949) 646-7110.

Contact Information

Primary practice address
188 E 17Th St Suite #101 Costa Mesa CA 92627-3763
Phone: (949) 646-7110
Fax: (949) 646-3957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1767 California

Profile Details

NPI number 1962450833
LBN Legal business name Degrandmont, Allen Jerome
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Jul 8th, 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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