Patton, Wendy L

Patton, Wendy L is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Patton, Wendy L can be contacted via phone (510) 428-3410.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3410
Fax: (510) 601-3968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X G78460 California

Profile Details

NPI number 1134168651
LBN Legal business name Patton, Wendy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134168651 NPPES
California Other 00G784600 BLUE SHIELD
California MEDICAID 00G784600 BLUE SHIELD

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