Thygeson, Jonathan Eric
Thygeson, Jonathan Eric is an sole proprietor health care provider with primary practice located at 755 University Avenue , Sacramento CA 95825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Thygeson, Jonathan Eric can be contacted via phone (916) 924-8754.Contact Information
Primary practice address
755 University Avenue
Sacramento CA 95825
Phone: (916) 924-8754
Fax: (916) 924-1739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A75063 | California |
Profile Details
NPI number | 1790744704 |
---|---|
LBN Legal business name | Thygeson, Jonathan Eric |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 20th, 2006 |
Last updated | Dec 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790744704 | NPPES |
Maryland | MEDICAID | 407017800 | |
Maryland | Other | 75859903 |
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