Patton, Wendy L
Patton, Wendy L is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Patton, Wendy L can be contacted via phone (510) 428-3410.Contact Information
Primary practice address
747 52Nd St
Oakland CA 94609-1809
Phone: (510) 428-3410
Fax: (510) 601-3968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | G78460 | California |
Profile Details
| NPI number | 1134168651 |
|---|---|
| LBN Legal business name | Patton, Wendy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1134168651 | NPPES |
| California | Other | 00G784600 | BLUE SHIELD |
| California | MEDICAID | 00G784600 | BLUE SHIELD |
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