Helma, Waltraud

Helma, Waltraud is an individual health care provider with primary practice located at 474 S Franklin St , Fort Bragg CA 95437-4803. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Helma, Waltraud can be contacted via phone (707) 961-0172.

Contact Information

Primary practice address
474 S Franklin St Fort Bragg CA 95437-4803
Fax: (707) 961-0217
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1740610849
LBN Legal business name Helma, Waltraud
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Nov 26th, 2013 - about 11 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 1740610849 NPPES
California MEDICAID 251S00000X

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