Ebenezer, Daniel Jayakumaar

Ebenezer, Daniel Jayakumaar is an individual health care provider with primary practice located at 2 Medical Plaza Dr Suite # 175, Roseville CA 95661-3049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ebenezer, Daniel Jayakumaar can be contacted via phone (916) 782-2146.

Contact Information

Primary practice address
2 Medical Plaza Dr Suite # 175 Roseville CA 95661-3049
Phone: (916) 782-2146
Fax: (916) 782-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A32625 California

Profile Details

NPI number 1508838541
LBN Legal business name Ebenezer, Daniel Jayakumaar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 10th, 2014 - about 10 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 1508838541 NPPES
Other ZZZ06970Z BLUE SHIELD
MEDICAID GR0094900 BLUE SHIELD

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