Athos, Laurence
Athos, Laurence is an sole proprietor health care provider with primary practice located at 19830 Lake Chabot Rd Suite D, Castro Valley CA 94546-4063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Athos, Laurence can be contacted via phone (510) 889-1677.Contact Information
Primary practice address
19830 Lake Chabot Rd Suite D
Castro Valley CA 94546-4063
Phone: (510) 889-1677
Fax: (510) 889-5823
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G34546 | California |
Profile Details
NPI number | 1194898510 |
---|---|
LBN Legal business name | Athos, Laurence |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 15th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194898510 | NPPES |
California | MEDICAID | 00G345460 |
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