Jamora, Augusto M.
Jamora, Augusto M. is an sole proprietor health care provider with primary practice located at 22250 Providence Dr Suite 207, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jamora, Augusto M. can be contacted via phone (248) 552-0360.Contact Information
Primary practice address
22250 Providence Dr Suite 207
Southfield MI 48075-4825
Phone: (248) 552-0360
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 43-01-033507 | Michigan |
Profile Details
NPI number | 1720001613 |
---|---|
LBN Legal business name | Jamora, Augusto M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 25th, 2006 |
Last updated | May 6th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720001613 | NPPES |
Michigan | Other | 0637767 | BLUE CROSS BLUE SHIELD |
Michigan | Other | 43-01-033507 | BLUE CROSS BLUE SHIELD |
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