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
Phone: (707) 961-0172
Fax: (707) 961-0217
Website:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740610849 | NPPES |
California | MEDICAID | 251S00000X |
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