Wooten, Madison Dora

Wooten, Madison Dora is an individual health care provider with primary practice located at 2945 Mcmillan Ave Ste 240 , San Luis Obispo CA 93401-6771. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Wooten, Madison Dora can be contacted via phone (805) 439-4890.

Contact Information

Primary practice address
2945 Mcmillan Ave Ste 240 San Luis Obispo CA 93401-6771
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1689326480
LBN Legal business name Wooten, Madison Dora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2022
Last updated Jan 22nd, 2022 - about 2 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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