Waldrop, Gary Daniel

Waldrop, Gary Daniel is an sole proprietor health care provider with primary practice located at 4601 Shasta Dam Blvd , Shasta Lake CA 96019-9413. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Waldrop, Gary Daniel can be contacted via phone (530) 275-8581.

Contact Information

Primary practice address
4601 Shasta Dam Blvd Shasta Lake CA 96019-9413
Phone: (530) 275-8581
Fax: (530) 275-8596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 141463 California

Profile Details

NPI number 1861516007
LBN Legal business name Waldrop, Gary Daniel
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 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 1861516007 NPPES
California Other 9419 MEDICAL EYE SERVICES
California MEDICAID DX067260F MEDICAL EYE SERVICES
California Other CA4661 MEDICAL EYE SERVICES

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