Clum, Woodworth B

Clum, Woodworth B is an individual health care provider with primary practice located at 75 Nielson Street , Watsonville CA 95076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clum, Woodworth B can be contacted via phone (408) 724-4741.

Contact Information

Primary practice address
75 Nielson Street Watsonville CA 95076
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G64973 California

Profile Details

NPI number 1366499451
LBN Legal business name Clum, Woodworth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Aug 1st, 2008 - about 16 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 1366499451 NPPES
California MEDICAID 00G649730

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