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
Phone: (510) 454-4715
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669550422 | NPPES |
California | MEDICAID | 00G476840 |
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