Wynhoff, Justin

Wynhoff, Justin is an individual health care provider with primary practice located at 1844 South St , Redding CA 96001-1809. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Wynhoff, Justin can be contacted via phone (530) 243-4500.

Contact Information

Primary practice address
1844 South St Redding CA 96001-1809
Phone: (530) 243-4500
Fax: (530) 243-4554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X

Profile Details

NPI number 1336640978
LBN Legal business name Wynhoff, Justin
Credentials CPED
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Nov 24th, 2020 - about 5 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 1336640978 NPPES
California MEDICAID GFC000180
California Other PG0073849001

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