Statham, Jodie

Statham, Jodie is an individual health care provider with primary practice located at 39465 Paseo Padre Pkwy Suite 2100, Fremont CA 94538-5350. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Statham, Jodie can be contacted via phone (510) 745-9151.

Contact Information

Primary practice address
39465 Paseo Padre Pkwy Suite 2100 Fremont CA 94538-5350
Phone: (510) 745-9151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1174975502
LBN Legal business name Statham, Jodie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2016
Last updated Jul 9th, 2016 - about 10 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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