Waddle, Brian

Waddle, Brian is an individual health care provider with primary practice located at 1668 Dominican Way , Santa Cruz CA 95065-1522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Waddle, Brian can be contacted via phone (831) 464-9962.

Contact Information

Primary practice address
1668 Dominican Way Santa Cruz CA 95065-1522
Phone: (831) 464-9962
Fax: (831) 464-9933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A68066 California

Profile Details

NPI number 1215001359
LBN Legal business name Waddle, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Apr 8th, 2011 - about 14 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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