Todd, Jeffrey James

Todd, Jeffrey James is an sole proprietor health care provider with primary practice located at 3170 Flora St , San Luis Obispo CA 93401-6051. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier is his primary health care specialty. Todd, Jeffrey James can be contacted via phone (805) 541-3174.

Contact Information

Primary practice address
3170 Flora St San Luis Obispo CA 93401-6051
Phone: (805) 541-3174
Fax: (805) 541-6427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X RHT 45586 California
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X FAC00029014 California

Profile Details

NPI number 1134171986
LBN Legal business name Todd, Jeffrey James
Credentials RT(R)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Apr 7th, 2012 - about 12 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 1134171986 NPPES
Georgia Other 630000525 PALMETTO GBA
Georgia MEDICAID ZZZ59902Z PALMETTO GBA

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