Sebastian, Jeremy S

Sebastian, Jeremy S is an individual health care provider with primary practice located at 3816 S 1St St , Austin TX 78704-7048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sebastian, Jeremy S can be contacted via phone (512) 443-1311.

Contact Information

Primary practice address
3816 S 1St St Austin TX 78704-7048
Phone: (512) 443-1311
Fax: (512) 406-6266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X M8983 Texas

Profile Details

NPI number 1235309246
LBN Legal business name Sebastian, Jeremy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Aug 25th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235309246 NPPES
Texas MEDICAID 199215804
Texas MEDICAID 199215801
Texas Other 8BL260
Texas MEDICAID 199215805
Texas MEDICAID 199215803

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