Mcdonald, William D

Mcdonald, William D is an individual health care provider with primary practice located at 4722 Quail Lakes Dr Suite A, Stockton CA 95207-5256. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mcdonald, William D can be contacted via phone (209) 476-0675.

Contact Information

Primary practice address
4722 Quail Lakes Dr Suite A Stockton CA 95207-5256
Phone: (209) 476-0675
Fax: (209) 476-9389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3287 California

Profile Details

NPI number 1902914963
LBN Legal business name Mcdonald, William D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 4th, 2015 - about 9 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 1902914963 NPPES
California Other ZZZ28592Z MEDICARE - ID
California MEDICAID GRE001670 MEDICARE - ID
California Other E3287 MEDICARE - ID

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