Eddow, Jim Jiro

Eddow, Jim Jiro is an individual health care provider with primary practice located at 2815 S Main St Ste 205 , Corona CA 92882. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Eddow, Jim Jiro can be contacted via phone (951) 475-1307.

Contact Information

Primary practice address
2815 S Main St Ste 205 Corona CA 92882
Phone: (951) 475-1307
Fax: (951) 475-1308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 29126 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT29126 California

Profile Details

NPI number 1578547683
LBN Legal business name Eddow, Jim Jiro
Credentials PT, DPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 7th, 2019 - about 6 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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