Federal, William Aubrey

Federal, William Aubrey is an sole proprietor health care provider with primary practice located at 546 E Pine St , Stockton CA 95204-5525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Federal, William Aubrey can be contacted via phone (209) 467-1000.

Contact Information

Primary practice address
546 E Pine St Stockton CA 95204-5525
Fax: (209) 467-7335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C35905 California

Profile Details

NPI number 1659413664
LBN Legal business name Federal, William Aubrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Aug 9th, 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 1659413664 NPPES
California MEDICAID 1659413664

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