Bristow, Robert E.

Bristow, Robert E. is an individual health care provider with primary practice located at 101 The City Drive South , Orange CA 92868. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Bristow, Robert E. can be contacted via phone (410) 955-6700.

Contact Information

Primary practice address
101 The City Drive South Orange CA 92868
Phone: (410) 955-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D53552 Maryland
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X G81369 California

Profile Details

NPI number 1427016039
LBN Legal business name Bristow, Robert E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 16th, 2011 - about 13 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 1427016039 NPPES
California MEDICAID 00G813690
California MEDICAID 221505500

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