Bristow, Robert E.
Bristow, Robert E. is an individual health care provider with primary practice located at 101 The City Drive South , Orange CA 92868. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Bristow, Robert E. can be contacted via phone (410) 955-6700.Contact Information
Primary practice address
101 The City Drive South
Orange CA 92868
Phone: (410) 955-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D53552 | Maryland |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | G81369 | California |
Profile Details
| NPI number | 1427016039 |
|---|---|
| LBN Legal business name | Bristow, Robert E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 16th, 2011 - about 15 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 | 1427016039 | NPPES |
| California | MEDICAID | 00G813690 | |
| California | MEDICAID | 221505500 |
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