Jekums, Theodore James

Jekums, Theodore James is an sole proprietor health care provider with primary practice located at 1801 W Romneya Dr 404, Anaheim CA 92801-1830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jekums, Theodore James can be contacted via phone (714) 535-4747.

Contact Information

Primary practice address
1801 W Romneya Dr 404 Anaheim CA 92801-1830
Fax: (714) 535-4054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G23626 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G23626 California

Profile Details

NPI number 1982666152
LBN Legal business name Jekums, Theodore James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Jan 28th, 2015 - about 10 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 1982666152 NPPES
California MEDICAID 00G236261

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