Patra, Woody
Patra, Woody is an sole proprietor health care provider with primary practice located at 3335 Placer St #112, Redding CA 96001-2364. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Patra, Woody can be contacted via phone (530) 246-3857.Contact Information
Primary practice address
3335 Placer St #112
Redding CA 96001-2364
Phone: (530) 246-3857
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A33431 | California |
Profile Details
| NPI number | 1013991918 |
|---|---|
| LBN Legal business name | Patra, Woody |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jan 21st, 2013 - about 11 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 | 1013991918 | NPPES |
| California | MEDICAID | 00A334310 |
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