Wadsworth, Carolyn Joyce

Wadsworth, Carolyn Joyce is an sole proprietor health care provider with primary practice located at 351 S Hudson Ave , Pasadena CA 91101-3507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wadsworth, Carolyn Joyce can be contacted via phone (626) 795-6981.

Contact Information

Primary practice address
351 S Hudson Ave Pasadena CA 91101-3507
Phone: (626) 795-6981
Fax: (626) 584-1540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 245433 California

Profile Details

NPI number 1366587206
LBN Legal business name Wadsworth, Carolyn Joyce
Credentials NURSE PRACTITONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 9th, 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 1366587206 NPPES
California MEDICAID SS1964881

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