Odom, Dawn Michelle

Odom, Dawn Michelle is an individual health care provider with primary practice located at 2525 Charleston Rd Ste 104 , Mountain View CA 94043-1636. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Odom, Dawn Michelle can be contacted via phone (408) 675-3255.

Contact Information

Primary practice address
2525 Charleston Rd Ste 104 Mountain View CA 94043-1636
Phone: (408) 675-3255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1359 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25709 Montana

Profile Details

NPI number 1902161466
LBN Legal business name Odom, Dawn Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Sep 26th, 2022 - about 2 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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