Eaton, Jeffrey S.

Eaton, Jeffrey S. is an individual health care provider with primary practice located at 12395 El Camino Real Suite 200, San Diego CA 92130-3082. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Eaton, Jeffrey S. can be contacted via phone (858) 755-6647.

Contact Information

Primary practice address
12395 El Camino Real Suite 200 San Diego CA 92130-3082
Phone: (858) 755-6647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A61523 California

Profile Details

NPI number 1316913650
LBN Legal business name Eaton, Jeffrey S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 18th, 2012 - about 13 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 1316913650 NPPES
California MEDICAID 00A615230

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