Stein, Mervyn R
Stein, Mervyn R is an individual health care provider with primary practice located at 950 Northgate Dr Suite 209, San Rafael CA 94903-3433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stein, Mervyn R can be contacted via phone (415) 479-2372.Contact Information
Primary practice address
950 Northgate Dr Suite 209
San Rafael CA 94903-3433
Phone: (415) 479-2372
Fax: (415) 472-6225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 00G164240 | California |
Profile Details
| NPI number | 1902932734 |
|---|---|
| LBN Legal business name | Stein, Mervyn R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902932734 | NPPES |
| California | MEDICAID | 00G164240 |
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