Bissell, Dwight M.
Bissell, Dwight M. is an sole proprietor health care provider with primary practice located at 350 Parnassus Ave , San Francisco CA 94143-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bissell, Dwight M. can be contacted via phone (415) 353-2318.Contact Information
Primary practice address
350 Parnassus Ave
San Francisco CA 94143-0001
Phone: (415) 353-2318
Fax: (415) 353-2407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G19697 | California |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G19697 | California |
Profile Details
| NPI number | 1831141241 |
|---|---|
| LBN Legal business name | Bissell, Dwight M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 28th, 2009 - about 15 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 | 1831141241 | NPPES |
| California | MEDICAID | 00G196970 |
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