Deere, Robert C

Deere, Robert C is an individual health care provider with primary practice located at 11480 Brookshire Ave Suite 111, Downey CA 90241-5010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Deere, Robert C can be contacted via phone (562) 904-1651.

Contact Information

Primary practice address
11480 Brookshire Ave Suite 111 Downey CA 90241-5010
Fax: (562) 904-1656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G54147 California

Profile Details

NPI number 1649221060
LBN Legal business name Deere, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 30th, 2008 - about 18 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 1649221060 NPPES
California Other ZZZ54573Z BLUE SHIELD
California MEDICAID GR0080690 BLUE SHIELD
California Other 0004023193 BLUE SHIELD
California Other GR0080690 BLUE SHIELD
California Other 020014065 BLUE SHIELD

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