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Contact Information

CAROLINE WELLS, PA-C
721 RIVER DR
SUITE A
FORT BRAGG, CA95437
 Phone: 707-961-4631
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CAROLINE WELLS · (Female)

NPI # 1689397531
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/26/2022
Last updated 05/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA64154
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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