Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E2127 | CA |
N | 222Z00000X | Podiatrist | E2127 | CA |
Y | 213ES0131X | Foot Surgery | E21270 | CA |
NPI | 1417925322 |
---|---|
Provider Name | William Joseph Gilbrech |
First Address | Auburn, CA 95602-7847 |
Second Address | Auburn, CA 95602-7847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 15/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E21270 | (05) | CA |
T11186 | (02) | CA |