Dejean, Andre Todd

Dejean, Andre Todd is an individual health care provider with primary practice located at 500 Old River Rd Suite 155, Bakersfield CA 93311-9504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dejean, Andre Todd can be contacted via phone (661) 664-1230.

Contact Information

Primary practice address
500 Old River Rd Suite 155 Bakersfield CA 93311-9504
Phone: (661) 664-1230
Fax: (661) 663-3008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036098449 Illinois
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036-098449 Illinois

Profile Details

NPI number 1639140700
LBN Legal business name Dejean, Andre Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Apr 11th, 2017 - about 7 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 1639140700 NPPES
Illinois MEDICAID 036098449

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