Wedderburn, Laura

Wedderburn, Laura is an individual health care provider with primary practice located at 350 30Th St Ste 100 , Oakland CA 94609-3422. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wedderburn, Laura can be contacted via phone (510) 204-8290.

Contact Information

Primary practice address
350 30Th St Ste 100 Oakland CA 94609-3422
Phone: (510) 204-8290
Fax: (510) 506-7725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A74957 California

Profile Details

NPI number 1912981788
LBN Legal business name Wedderburn, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Sep 10th, 2021 - about 5 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 1912981788 NPPES
California MEDICAID 00A749570
California Other A74957

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