Wirth, Damon Scott

Wirth, Damon Scott is an individual health care provider with primary practice located at 1 Medical Plaza Dr , Roseville CA 95661-3037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wirth, Damon Scott can be contacted via phone (916) 781-1000.

Contact Information

Primary practice address
1 Medical Plaza Dr Roseville CA 95661-3037
Phone: (916) 781-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H76191 California

Profile Details

NPI number 1245258185
LBN Legal business name Wirth, Damon Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 16th, 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 1245258185 NPPES
California MEDICAID 00A776000

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