Shadid, Paula D.

Shadid, Paula D. is an sole proprietor health care provider with primary practice located at 987 Golf Course Dr , Rohnert Park CA 94928-1892. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shadid, Paula D. can be contacted via phone (707) 584-1233.

Contact Information

Primary practice address
987 Golf Course Dr Rohnert Park CA 94928-1892
Phone: (707) 584-1233
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 8025 TPA California

Profile Details

NPI number 1447399662
LBN Legal business name Shadid, Paula D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447399662 NPPES
California Other 13102 MES
California MEDICAID SD0080250 MES

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