Federhart, Jay Beckett
Federhart, Jay Beckett is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Federhart, Jay Beckett can be contacted via phone (800) 926-8273.Contact Information
Primary practice address
200 W Arbor Dr
San Diego CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G84686 | California |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G84686 | California |
Profile Details
NPI number | 1568422558 |
---|---|
LBN Legal business name | Federhart, Jay Beckett |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Dec 21st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568422558 | NPPES |
California | MEDICAID | 00G846860 | |
California | Other | G84686 | |
California | MEDICAID | 1568422558 |
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