Laurence, Jody B
Laurence, Jody B is an sole proprietor health care provider with primary practice located at 5 Medical Plaza Dr Ste 110 , Roseville CA 95661-2866. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Laurence, Jody B can be contacted via phone (916) 483-1493.Contact Information
Primary practice address
5 Medical Plaza Dr Ste 110
Roseville CA 95661-2866
Phone: (916) 483-1493
Fax: (888) 411-8530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E4155 | California |
Profile Details
| NPI number | 1972685378 |
|---|---|
| LBN Legal business name | Laurence, Jody B |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 1st, 2016 - about 10 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 | 1972685378 | NPPES |
| California | MEDICAID | 000E41550 |
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