Omura, Ted H.

Omura, Ted H. is an sole proprietor health care provider with primary practice located at 1609 Meridian Ave , San Jose CA 95125-5532. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Omura, Ted H. can be contacted via phone (408) 448-8818.

Contact Information

Primary practice address
1609 Meridian Ave San Jose CA 95125-5532
Phone: (408) 448-8818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC025988 California

Profile Details

NPI number 1205837986
LBN Legal business name Omura, Ted H.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Sep 9th, 2010 - about 15 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 1205837986 NPPES
California Other DC0259880 BLUE SHIELD
California Other 357446700 BLUE SHIELD
California Other 5708678 BLUE SHIELD

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