Steffen, Prentice David
Steffen, Prentice David is an individual health care provider with primary practice located at 1925 Harper St , Santa Cruz CA 95062-3044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Steffen, Prentice David can be contacted via phone (415) 823-5367.Contact Information
Primary practice address
1925 Harper St
Santa Cruz CA 95062-3044
Phone: (415) 823-5367
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G64271 | California |
Profile Details
NPI number | 1245266253 |
---|---|
LBN Legal business name | Steffen, Prentice David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Oct 20th, 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 | 1245266253 | NPPES |
California | MEDICAID | 00G642710 |
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