National Provider Identifier Database

WILLIAM M MAHON JEFFREY M KRAUT
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

WILLIAM M MAHON & JEFFREY M KRAUT
510 CYPRESS ST STE D
FORT BRAGG, CA95437-5411
Phone: 707-964-5696
Fax: 707-964-6274
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for WILLIAM M MAHON & JEFFREY M KRAUT

NPI Number 1184644627
Legal business name
LBN
WILLIAM M MAHON & JEFFREY M KRAUT
Authorized official WILLIAM MAHON - (PARTNER/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/20/2006
Last updated 12/16/2010 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: RHM53843F
  • CA Medicaid: ZZZ79185Z

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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