Vastine, David W
Vastine, David W is an individual health care provider with primary practice located at 491 30Th St Ste 101, Oakland CA 94609-3235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Vastine, David W can be contacted via phone (510) 444-0603.Contact Information
Primary practice address
491 30Th St Ste 101
Oakland CA 94609-3235
Phone: (510) 444-0603
Fax: (510) 444-6046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G179660 | California |
Profile Details
| NPI number | 1497730824 |
|---|---|
| LBN Legal business name | Vastine, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Sep 5th, 2013 - about 12 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 | 1497730824 | NPPES |
| California | MEDICAID | 00G179661 | |
| California | MEDICAID | 00G179660 |
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