Wirth, Robert L

Wirth, Robert L is an individual health care provider with primary practice located at 180 Rowland Way , Novato CA 94945-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wirth, Robert L can be contacted via phone (415) 209-1500.

Contact Information

Primary practice address
180 Rowland Way Novato CA 94945-5009
Phone: (415) 209-1500
Fax: (415) 209-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G55313 California

Profile Details

NPI number 1396786547
LBN Legal business name Wirth, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 23rd, 2020 - about 4 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 1396786547 NPPES
California MEDICAID 00G553130
California Other 300121795

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