Moribe, Dennis Shigeru

Moribe, Dennis Shigeru is an individual health care provider with primary practice located at 97 San Marin Dr , Novato CA 94945-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moribe, Dennis Shigeru can be contacted via phone (415) 899-7400.

Contact Information

Primary practice address
97 San Marin Dr Novato CA 94945-1100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G49094 California

Profile Details

NPI number 1922187053
LBN Legal business name Moribe, Dennis Shigeru
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1922187053 NPPES
California MEDICAID 00G490940

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