Fankushen, David S

Fankushen, David S is an sole proprietor health care provider with primary practice located at 12 Ritter St , San Rafael CA 94912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fankushen, David S can be contacted via phone (415) 457-8182.

Contact Information

Primary practice address
12 Ritter St San Rafael CA 94912
Phone: (415) 457-8182
Fax: (415) 457-3490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X GFE10777 California

Profile Details

NPI number 1174721856
LBN Legal business name Fankushen, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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