Dawson, Timothy Charles

Dawson, Timothy Charles is an individual health care provider with primary practice located at 1300 S Eliseo Dr Ste 100 , Greenbrae CA 94904-2014. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dawson, Timothy Charles can be contacted via phone (415) 461-7246.

Contact Information

Primary practice address
1300 S Eliseo Dr Ste 100 Greenbrae CA 94904-2014
Phone: (415) 461-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A89902 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A89902 California

Profile Details

NPI number 1194757443
LBN Legal business name Dawson, Timothy Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 28th, 2007 - about 19 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 1194757443 NPPES
California MEDICAID 00A899020
California Other 1194757443
California Other 00A899022

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