Mayeda, Thomas K
Mayeda, Thomas K is an individual health care provider with primary practice located at 7373 W Jefferson Ave #103, Lakewood CO 80235-2038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mayeda, Thomas K can be contacted via phone (303) 989-1284.Contact Information
Primary practice address
7373 W Jefferson Ave #103
Lakewood CO 80235-2038
Phone: (303) 989-1284
Fax: (303) 988-6229
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21404 | Colorado |
Profile Details
NPI number | 1609873306 |
---|---|
LBN Legal business name | Mayeda, Thomas K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Mar 31st, 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 | 1609873306 | NPPES |
Colorado | Other | 66163 | BLUE CROSS/BLUE SHIELD |
Colorado | MEDICAID | 012-140-48 | BLUE CROSS/BLUE SHIELD |
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