Killpack, Steven Peter
Killpack, Steven Peter is an individual health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Killpack, Steven Peter can be contacted via phone (415) 461-4675.Contact Information
Primary practice address
99 Montecillo Rd
San Rafael CA 94903-3308
Phone: (415) 461-4675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G64433 | California |
Profile Details
| NPI number | 1477651149 |
|---|---|
| LBN Legal business name | Killpack, Steven Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Dec 13th, 2021 - about 3 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 | 1477651149 | NPPES |
| California | MEDICAID | 00G644330 |
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