Wahlstrom, Justin

Wahlstrom, Justin is an sole proprietor health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Wahlstrom, Justin can be contacted via phone (415) 443-4127.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 443-4127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 240540 New York
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A113418 California

Profile Details

NPI number 1912165358
LBN Legal business name Wahlstrom, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2008
Last updated Apr 13th, 2012 - 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.

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