St. Goar, Frederick
St. Goar, Frederick is an individual health care provider with primary practice located at 2490 Hospital Dr Ste 311 , Mountain View CA 94040-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. St. Goar, Frederick can be contacted via phone (650) 962-4690.Contact Information
Primary practice address
2490 Hospital Dr Ste 311
Mountain View CA 94040-4126
Phone: (650) 962-4690
Fax: (650) 962-4694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G57372 | California |
Profile Details
| NPI number | 1992710453 |
|---|---|
| LBN Legal business name | St. Goar, Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Aug 22nd, 2011 - about 14 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 | 1992710453 | NPPES |
| California | MEDICAID | GR0098530 |
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