Speckman, James A.

Speckman, James A. is an sole proprietor health care provider with primary practice located at 4080 Loma Vista Rd Suite B, Ventura CA 93003-1811. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Speckman, James A. can be contacted via phone (805) 644-9751.

Contact Information

Primary practice address
4080 Loma Vista Rd Suite B Ventura CA 93003-1811
Fax: (805) 644-0045
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 037024 California

Profile Details

NPI number 1336202878
LBN Legal business name Speckman, James A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336202878 NPPES
California Other 621247 UNITED CONCORDIA TRICARE

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