Lode, George J

Lode, George J is an individual health care provider with primary practice located at 1555 East St Ste 210, Redding CA 96001-1153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lode, George J can be contacted via phone (530) 241-3767.

Contact Information

Primary practice address
1555 East St Ste 210 Redding CA 96001-1153
Fax: (530) 241-0273
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C42781 California

Profile Details

NPI number 1710958285
LBN Legal business name Lode, George J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 6th, 2011 - about 13 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 1710958285 NPPES
California MEDICAID 00C427810

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