Welter, Stephen Edward
Welter, Stephen Edward is an sole proprietor health care provider with primary practice located at 100 Thorndale Drive Medical Clinic, San Rafael CA 94903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Welter, Stephen Edward can be contacted via phone (415) 492-2410.Contact Information
Primary practice address
100 Thorndale Drive Medical Clinic
San Rafael CA 94903
Phone: (415) 492-2410
Fax: (415) 499-8395
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G37927 | California |
Profile Details
NPI number | 1801906136 |
---|---|
LBN Legal business name | Welter, Stephen Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2006 |
Last updated | Apr 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801906136 | NPPES |
California | MEDICAID | 00G379270 |
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