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
Phone: (714) 535-4747
Fax: (714) 535-4054
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982666152 | NPPES |
California | MEDICAID | 00G236261 |
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