Sycamore, Justin
Sycamore, Justin is an sole proprietor health care provider with primary practice located at 777 E Thousand Oaks Blvd , Thousand Oaks CA 91360-6054. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sycamore, Justin can be contacted via phone (805) 777-0050.Contact Information
Primary practice address
777 E Thousand Oaks Blvd
Thousand Oaks CA 91360-6054
Phone: (805) 777-0050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 59913 | California |
Profile Details
| NPI number | 1285833442 |
|---|---|
| LBN Legal business name | Sycamore, Justin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Dec 4th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285833442 | NPPES |
| California | MEDICAID | 1285833442 |
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