Self, Todd C

Self, Todd C is an sole proprietor health care provider with primary practice located at 940 Sylva Ln Ste E , Sonora CA 95370-5969. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Self, Todd C can be contacted via phone (209) 533-3996.

Contact Information

Primary practice address
940 Sylva Ln Ste E Sonora CA 95370-5969
Phone: (209) 533-3996
Fax: (209) 533-3998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3690 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3690 California

Profile Details

NPI number 1871569889
LBN Legal business name Self, Todd C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Mar 7th, 2023 - about 3 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 1871569889 NPPES
California MEDICAID 000E36900

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