Somdahl, Jerald Garner

Somdahl, Jerald Garner is an sole proprietor health care provider with primary practice located at 134 N 10Th St , Santa Paula CA 93060-2803. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Somdahl, Jerald Garner can be contacted via phone (805) 933-1313.

Contact Information

Primary practice address
134 N 10Th St Santa Paula CA 93060-2803
Phone: (805) 933-1313
Fax: (805) 933-9866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3590 California

Profile Details

NPI number 1568434272
LBN Legal business name Somdahl, Jerald Garner
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Nov 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568434272 NPPES
California MEDICAID 000E35901

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