Bott, Frank Joseph

Bott, Frank Joseph is an individual health care provider with primary practice located at 1700 North Waterman Avenue , San Bernardino CA 92404-5105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bott, Frank Joseph can be contacted via phone (909) 883-8611.

Contact Information

Primary practice address
1700 North Waterman Avenue San Bernardino CA 92404-5105
Phone: (909) 883-8611
Fax: (909) 886-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C25134 California

Profile Details

NPI number 1720045545
LBN Legal business name Bott, Frank Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 22nd, 2008 - about 16 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 1720045545 NPPES
California MEDICAID 00C251340

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