Dollbaum, Charles M.

Dollbaum, Charles M. is an individual health care provider with primary practice located at 1600 Divisadero St Fl 2 , San Francisco CA 94115-3010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Dollbaum, Charles M. can be contacted via phone (415) 353-7070.

Contact Information

Primary practice address
1600 Divisadero St Fl 2 San Francisco CA 94115-3010
Phone: (415) 353-7070
Fax: (415) 353-7021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G48211 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G48211 California

Profile Details

NPI number 1205863552
LBN Legal business name Dollbaum, Charles M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 29th, 2012 - about 12 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 1205863552 NPPES
California MEDICAID 00G482110

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