Mahaffey, Judy Mae
Mahaffey, Judy Mae is an sole proprietor health care provider with primary practice located at 2379 Sunnyside Ave , Clovis CA 93611-4052. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Mahaffey, Judy Mae can be contacted via phone (559) 292-1403.Contact Information
Primary practice address
2379 Sunnyside Ave
Clovis CA 93611-4052
Phone: (559) 292-1403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 384248 | California |
Profile Details
| NPI number | 1578625943 |
|---|---|
| LBN Legal business name | Mahaffey, Judy Mae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578625943 | NPPES |
| California | MEDICAID | EPS011820 | |
| California | Other | 394248 | |
| California | MEDICAID | RVN000360 |
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