Egolf, John D

Egolf, John D is an individual health care provider with primary practice located at 3184 Churn Creek Rd , Redding CA 96002-2122. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Egolf, John D can be contacted via phone (530) 768-2436.

Contact Information

Primary practice address
3184 Churn Creek Rd Redding CA 96002-2122
Phone: (530) 768-2436
Fax: (530) 768-2450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 515189 California

Profile Details

NPI number 1891991923
LBN Legal business name Egolf, John D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated May 24th, 2016 - about 8 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 1891991923 NPPES
California MEDICAID RN515189

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