Gjeltema, Kenneth J
Gjeltema, Kenneth J is an individual health care provider with primary practice located at 2930 2Nd Ave 200, Marina CA 93933-6244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gjeltema, Kenneth J can be contacted via phone (831) 582-2100.Contact Information
Primary practice address
2930 2Nd Ave 200
Marina CA 93933-6244
Phone: (831) 582-2100
Fax: (831) 620-0304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G58053 | California |
Profile Details
| NPI number | 1225145543 |
|---|---|
| LBN Legal business name | Gjeltema, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Mar 24th, 2015 - about 9 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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