Dethlefs, Judith Louise
Dethlefs, Judith Louise is an individual health care provider with primary practice located at 815 Pollard Road , Los Gatos CA 95032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Dethlefs, Judith Louise can be contacted via phone (408) 378-6131.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G35356 | California |
Profile Details
| NPI number | 1386699841 |
|---|---|
| LBN Legal business name | Dethlefs, Judith Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 11th, 2008 - about 18 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 | 1386699841 | NPPES |
| California | MEDICAID | 00G353560 |
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