Prehn, Walter C
Prehn, Walter C is an sole proprietor health care provider with primary practice located at 181 Andrieux Street Suite 206, Sonoma CA 95476-6920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Prehn, Walter C can be contacted via phone (707) 495-7762.Contact Information
Primary practice address
181 Andrieux Street Suite 206
Sonoma CA 95476-6920
Phone: (707) 495-7762
Fax: (707) 938-7337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G254540 | California |
Profile Details
| NPI number | 1225042088 |
|---|---|
| LBN Legal business name | Prehn, Walter C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Sep 25th, 2012 - about 12 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 | 1225042088 | NPPES |
| California | MEDICAID | 00G254540 |
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