Nevitt, Judith Brooke

Nevitt, Judith Brooke is an individual health care provider with primary practice located at 1225 Crane St Suite 200, Menlo Park CA 94025-4253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Nevitt, Judith Brooke can be contacted via phone (650) 324-0056.

Contact Information

Primary practice address
1225 Crane St Suite 200 Menlo Park CA 94025-4253
Phone: (650) 324-0056
Fax: (650) 324-1156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G60652 California

Profile Details

NPI number 1194816058
LBN Legal business name Nevitt, Judith Brooke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 19th, 2015 - about 11 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 1194816058 NPPES
California MEDICAID 00G606520

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