Cody, Christopher Lee

Cody, Christopher Lee is an individual health care provider with primary practice located at 2800 Harris St , Eureka CA 95503-4809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cody, Christopher Lee can be contacted via phone (707) 445-8416.

Contact Information

Primary practice address
2800 Harris St Eureka CA 95503-4809
Phone: (707) 445-8416
Fax: (707) 445-4182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G30893 California

Profile Details

NPI number 1629074570
LBN Legal business name Cody, Christopher Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Nov 8th, 2011 - about 13 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 1629074570 NPPES
California MEDICAID 00G308930

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