Swedberg, Paul J
Swedberg, Paul J is an individual health care provider with primary practice located at 1250 Peach St Ste A, San Luis Obispo CA 93401-2871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Swedberg, Paul J can be contacted via phone (805) 596-0900.Contact Information
Primary practice address
1250 Peach St Ste A
San Luis Obispo CA 93401-2871
Phone: (805) 596-0900
Fax: (805) 596-0945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G40569 | California |
Profile Details
NPI number | 1558363895 |
---|---|
LBN Legal business name | Swedberg, Paul J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Sep 26th, 2011 - about 13 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 | 1558363895 | NPPES |
California | MEDICAID | 00G405690 | |
California | Other | ZZZ04910Z | |
California | Other | 891275 | |
California | Other | 4275948 |
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