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Contact Information

WESLEY E ROOT, MD
3800 JANES RD
ARCATA, CA95521
 Phone: 707-825-4972
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for WESLEY E ROOT · (Male)

NPI Number 1508829680
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 04/12/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A23851
  • CA Medicaid 00A238510
  • Other P00429943 RAILROAD MEDICARE
  • Other DG3352 RAILROAD MEDICARE GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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