Dybbro, Paul E.

Dybbro, Paul E. is an individual health care provider with primary practice located at 2500 Merced St , San Leandro CA 94577-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Dybbro, Paul E. can be contacted via phone (510) 454-4715.

Contact Information

Primary practice address
2500 Merced St San Leandro CA 94577-4201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G47684 California

Profile Details

NPI number 1669550422
LBN Legal business name Dybbro, Paul E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jun 10th, 2015 - about 9 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 1669550422 NPPES
California MEDICAID 00G476840

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