Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | C22890 | CA |
NPI | 1245281419 |
---|---|
Provider Name | Dr. Helmer W. S. Huseby |
First Address | Alamo, CA 94507-0527 |
Second Address | Concord, CA 94520-1818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E36245 | (02) | CA |