Wilburn, Wanda Althea

Wilburn, Wanda Althea is an sole proprietor health care provider with primary practice located at 16000 Apple Valley Rd Suite C-3, Apple Valley CA 92307-7814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Wilburn, Wanda Althea can be contacted via phone (760) 946-3806.

Contact Information

Primary practice address
16000 Apple Valley Rd Suite C-3 Apple Valley CA 92307-7814
Phone: (760) 946-3806
Fax: (760) 946-3809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X A84253 California

Profile Details

NPI number 1639245806
LBN Legal business name Wilburn, Wanda Althea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Feb 29th, 2024 - about 2 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 1639245806 NPPES
California MEDICAID 00A842530

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