Woldu, Henock

Woldu, Henock is an individual health care provider with primary practice located at 275 Hospital Pkwy , San Jose CA 95119-1106. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Woldu, Henock can be contacted via phone (720) 227-2078.

Contact Information

Primary practice address
275 Hospital Pkwy San Jose CA 95119-1106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 75029 California

Profile Details

NPI number 1750892238
LBN Legal business name Woldu, Henock
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2017
Last updated Oct 24th, 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 1750892238 NPPES
California Other D8349659 DRIVER LICENSE

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