Kaweblum, Jaime
Kaweblum, Jaime is an individual health care provider with primary practice located at 1771 Madison Ave , Lakewood NJ 08701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kaweblum, Jaime can be contacted via phone (732) 364-2144.Contact Information
Primary practice address
1771 Madison Ave
Lakewood NJ 08701
Phone: (732) 364-2144
Fax: (732) 364-3559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB07684700 | New Jersey |
Profile Details
| NPI number | 1164534798 |
|---|---|
| LBN Legal business name | Kaweblum, Jaime |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164534798 | NPPES |
| New Jersey | MEDICAID | 0033740 |
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