Von Franque, Otto A.
Von Franque, Otto A. is an individual health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Von Franque, Otto A. can be contacted via phone (415) 444-2000.Contact Information
Primary practice address
99 Montecillo Rd
San Rafael CA 94903-3308
Phone: (415) 444-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G76075 | California |
Profile Details
NPI number | 1629152616 |
---|---|
LBN Legal business name | Von Franque, Otto A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
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 | 1629152616 | NPPES |
California | MEDICAID | 00G760750 |
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