Bookoff, Charles

Bookoff, Charles is an individual health care provider with primary practice located at 3260 Kerner Blvd , San Rafael CA 94901-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bookoff, Charles can be contacted via phone (415) 499-6890.

Contact Information

Primary practice address
3260 Kerner Blvd San Rafael CA 94901-4861
Fax: (415) 499-4213
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G21934 California

Profile Details

NPI number 1982664496
LBN Legal business name Bookoff, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 9th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982664496 NPPES
California Other G21934 CA LICENSE NUMBER
California MEDICAID 00G219340 CA LICENSE NUMBER

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