Jude Waterbury Inc

LBN: Jude Waterbury Inc
Jude Waterbury Inc is an health care organization with primary practice located at 8100 Timberlake Way #D, Sacramento CA 95823-5409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jude Waterbury Inc can be contacted via phone (916) 689-8606, or through Waterbury, Jude via phone (916) 689-8606.

Contact Information

Primary practice address
8100 Timberlake Way #D Sacramento CA 95823-5409
Phone: (916) 689-8606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waterbury, Jude Doctor of Medicine (MD)
Phone: (916) 689-8606

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A90991 California

Profile Details

NPI number 1255540241
LBN Legal business name Jude Waterbury Inc
DBA Doing business as
Authorized official Waterbury, Jude Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Apr 4th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255540241 NPPES
California MEDICAID 00A909910
California Other 00A909910
California Other DE3856

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