Thomas, Judith Selfridge

Thomas, Judith Selfridge is an sole proprietor health care provider with primary practice located at 1300 W 7Th St , San Pedro CA 90732-3505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thomas, Judith Selfridge can be contacted via phone (310) 514-5350.

Contact Information

Primary practice address
1300 W 7Th St San Pedro CA 90732-3505
Phone: (310) 514-5350
Fax: (310) 514-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP7106 California

Profile Details

NPI number 1679501597
LBN Legal business name Thomas, Judith Selfridge
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Feb 20th, 2008 - about 16 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 1679501597 NPPES
California MEDICAID RN262576

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