Withers, June Shao

Withers, June Shao is an sole proprietor health care provider with primary practice located at 4966 El Camino Real Ste 111 , Los Altos CA 94022-1406. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Withers, June Shao can be contacted via phone (650) 224-5497.

Contact Information

Primary practice address
4966 El Camino Real Ste 111 Los Altos CA 94022-1406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A72572 California

Profile Details

NPI number 1932103843
LBN Legal business name Withers, June Shao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Apr 13th, 2020 - about 4 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 1932103843 NPPES
California MEDICAID 00A725720

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