Westrom, Dale Raymond

Westrom, Dale Raymond is an individual health care provider with primary practice located at 990 Sonoma Ave Ste 2 , Santa Rosa CA 95404-4813. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Westrom, Dale Raymond can be contacted via phone (707) 579-4239.

Contact Information

Primary practice address
990 Sonoma Ave Ste 2 Santa Rosa CA 95404-4813
Phone: (707) 579-4239
Fax: (707) 579-0459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G46342 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G46242 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G46342 California

Profile Details

NPI number 1922032077
LBN Legal business name Westrom, Dale Raymond
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922032077 NPPES
California MEDICAID 00G46342

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