King, Luther W.

King, Luther W. is an sole proprietor health care provider with primary practice located at 2175 Rosaline Avenue , Redding CA 96001-2509. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. King, Luther W. can be contacted via phone (530) 225-6000.

Contact Information

Primary practice address
2175 Rosaline Avenue Redding CA 96001-2509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA14501 California

Profile Details

NPI number 1245481985
LBN Legal business name King, Luther W.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - about 17 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 1245481985 NPPES
California Other PA14501 STATE OF CALIFORNIA

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