Lake, Jeffrey Thomas
Lake, Jeffrey Thomas is an sole proprietor health care provider with primary practice located at 703 Main St St. Joseph'S Regional Medical Center, Paterson NJ 07503-2621. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lake, Jeffrey Thomas can be contacted via phone (973) 754-2323.Contact Information
Primary practice address
703 Main St St. Joseph'S Regional Medical Center
Paterson NJ 07503-2621
Phone: (973) 754-2323
Fax: (973) 977-9455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MB08901500 | New Jersey |
Profile Details
NPI number | 1982872784 |
---|---|
LBN Legal business name | Lake, Jeffrey Thomas |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2008 |
Last updated | Sep 30th, 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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