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Contact Information

CAPITOL UROLOGY MEDICAL GROUP INC
1561 CREEKSIDE DR
SUITE 170
FOLSOM, CA95630
 Phone: 916-983-5557
 Fax: 916-983-7878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for CAPITOL UROLOGY MEDICAL GROUP INC · (Female)

NPI Number 1306867213
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2006
Last updated 11/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G59349
  • CA Medicaid GR0065840
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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