William, Commodore

William, Commodore is an individual health care provider with primary practice located at 1692 El Camino Real , San Carlos CA 94070-5208. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. William, Commodore can be contacted via phone (508) 179-0706.

Contact Information

Primary practice address
1692 El Camino Real San Carlos CA 94070-5208
Fax: (650) 817-9074
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1205274891
LBN Legal business name William, Commodore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated May 10th, 2023 - about last year

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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