Udell, Care

Udell, Care is an individual health care provider with primary practice located at 801 Empire St , Fairfield CA 94533-5702. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Udell, Care can be contacted via phone (707) 425-5744.

Contact Information

Primary practice address
801 Empire St Fairfield CA 94533-5702
Phone: (707) 425-5744
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1306991518
LBN Legal business name Udell, Care
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Feb 28th, 2017 - about 7 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 1306991518 NPPES
California MEDICAID 3066

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