Tedd E Dawson Md Inc

LBN: Tedd E Dawson Md Inc
Tedd E Dawson Md Inc is an health care organization with primary practice located at 1196 S Main St , Willits CA 95490-4304. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Tedd E Dawson Md Inc can be contacted via phone (707) 459-3070, or through Dawson, Tedd Eugene via phone (707) 459-3070.

Contact Information

Primary practice address
1196 S Main St Willits CA 95490-4304
Phone: (707) 459-3070
Fax: (707) 459-3052
Website:
Map and Directions
Authorized official contact:
Name: Dawson, Tedd Eugene Doctor of Medicine (MD)
Phone: (707) 459-3070

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C38007 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X C38007 California

Profile Details

NPI number 1730349739
LBN Legal business name Tedd E Dawson Md Inc
DBA Doing business as
Authorized official Dawson, Tedd Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2008
Last updated Feb 25th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730349739 NPPES
California MEDICAID 1457330680
California MEDICAID 00C380070

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