David, Frederick Charles

David, Frederick Charles is an individual health care provider with primary practice located at 3555 Round Barn Circle , Santa Rosa CA 95403-1757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. David, Frederick Charles can be contacted via phone (707) 528-1050.

Contact Information

Primary practice address
3555 Round Barn Circle Santa Rosa CA 95403-1757
Phone: (707) 528-1050
Fax: (707) 576-0445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G34598 California
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X G34598 California

Profile Details

NPI number 1982793808
LBN Legal business name David, Frederick Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 21st, 2021 - about 5 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 1982793808 NPPES
California MEDICAID 00G345980

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