Untalan, Doris Therese Crisostomo

Untalan, Doris Therese Crisostomo is an sole proprietor health care provider with primary practice located at 2500 Merced Street , San Leandro CA 94577-4201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Untalan, Doris Therese Crisostomo can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
2500 Merced Street San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW 1079 California

Profile Details

NPI number 1457427940
LBN Legal business name Untalan, Doris Therese Crisostomo
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Feb 11th, 2022 - about 2 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.

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