Bott, Allen David

Bott, Allen David is an individual health care provider with primary practice located at 3120 Webster St , Oakland CA 94609-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Bott, Allen David can be contacted via phone (510) 834-1813.

Contact Information

Primary practice address
3120 Webster St Oakland CA 94609-3421
Phone: (510) 834-1813
Fax: (510) 834-9221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X G27329 California

Profile Details

NPI number 1770577652
LBN Legal business name Bott, Allen David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 20th, 2019 - about 5 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 1770577652 NPPES
California MEDICAID 00G273290

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