WILLIAM M MAHON & JEFFREY M KRAUT; NPI #1184644627

Contact Information

WILLIAM M MAHON & JEFFREY M KRAUT

510 CYPRESS ST STE D
FORT BRAGG, CA 95437-5411

Phone: 707-964-5696
Fax: 707-964-6274
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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

NPI Number 1184644627

LBN Legal business name WILLIAM M MAHON & JEFFREY M KRAUT

Authorized official WILLIAM MAHON - (PARTNER/ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/20/2006

Last updated 12/16/2010 - About 15 years ago

Identifiers

CA	Medicaid	RHM53843F
CA	Medicaid	ZZZ79185Z

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WILLIAM M MAHON & JEFFREY M KRAUT

Contact Information

Specialty

Adolescent Medicine

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

Reviews for WILLIAM M MAHON & JEFFREY M KRAUT