Woodbury, Brent L
Woodbury, Brent L is an individual health care provider with primary practice located at 6700 N First St Suite 105, Fresno CA 93710. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Woodbury, Brent L can be contacted via phone (559) 431-0757.Contact Information
Primary practice address
6700 N First St Suite 105
Fresno CA 93710
Phone: (559) 431-0757
Fax: (559) 431-0758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2222 | California |
Profile Details
| NPI number | 1821154881 |
|---|---|
| LBN Legal business name | Woodbury, Brent L |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821154881 | NPPES |
| California | MEDICAID | 000E22220 |
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