Carlberg, Heather Dawne

Carlberg, Heather Dawne is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904-1702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Carlberg, Heather Dawne can be contacted via phone (415) 342-7939.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904-1702
Phone: (415) 342-7939
Fax: (925) 513-4376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 223334 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C54865 California

Profile Details

NPI number 1346329968
LBN Legal business name Carlberg, Heather Dawne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jun 3rd, 2015 - about 10 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 1346329968 NPPES
Arizona MEDICAID 960163
Arizona MEDICAID 59677031

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