Dobrowolski, Christine Cecylia

Dobrowolski, Christine Cecylia is an sole proprietor health care provider with primary practice located at 1626 Myrtle Ave Ste A, Eureka CA 95501. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Dobrowolski, Christine Cecylia can be contacted via phone (707) 441-1112.

Contact Information

Primary practice address
1626 Myrtle Ave Ste A Eureka CA 95501
Fax: (707) 441-1711
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4091 California

Profile Details

NPI number 1760423040
LBN Legal business name Dobrowolski, Christine Cecylia
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Dec 7th, 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 1760423040 NPPES
California MEDICAID 000E40910
California Other 480025680

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