Groten, Dawn M
Groten, Dawn M is an individual health care provider with primary practice located at 1510 4Th St Suite 1, Berkeley CA 94710-1717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Groten, Dawn M can be contacted via phone (510) 525-8980.Contact Information
Primary practice address
1510 4Th St Suite 1
Berkeley CA 94710-1717
Phone: (510) 525-8980
Fax: (510) 525-8982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G54516 | California |
Profile Details
| NPI number | 1407880693 |
|---|---|
| LBN Legal business name | Groten, Dawn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 16th, 2014 - about 10 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 | 1407880693 | NPPES |
| California | MEDICAID | 00G545161 |
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