Hom, John D

Hom, John D is an individual health care provider with primary practice located at 751 S Bascom Ave Podiatry Dept, San Jose CA 95128-2604. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Hom, John D can be contacted via phone (408) 885-7821.

Contact Information

Primary practice address
751 S Bascom Ave Podiatry Dept San Jose CA 95128-2604
Phone: (408) 885-7821
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E4261 California

Profile Details

NPI number 1699863662
LBN Legal business name Hom, John D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 14th, 2013 - about 11 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 1699863662 NPPES
California MEDICAID 000E42610

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