Fathman, C. Garrison
Fathman, C. Garrison is an individual health care provider with primary practice located at 300 Pasteur Dr Ccsr 2225, Stanford CA 94305-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Fathman, C. Garrison can be contacted via phone (650) 851-5866.Contact Information
Primary practice address
300 Pasteur Dr Ccsr 2225
Stanford CA 94305-2200
Phone: (650) 851-5866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | C33057 | California |
Profile Details
| NPI number | 1770619926 |
|---|---|
| LBN Legal business name | Fathman, C. Garrison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2007 |
| Last updated | Apr 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770619926 | NPPES |
| California | MEDICAID | 00C330570 |
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