Hostetter, Robert Clyde

Hostetter, Robert Clyde is an individual health care provider with primary practice located at 300 Canal St , King City CA 93930-3431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hostetter, Robert Clyde can be contacted via phone (831) 385-6000.

Contact Information

Primary practice address
300 Canal St King City CA 93930-3431
Fax: (831) 385-0414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G33650 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G33650 California

Profile Details

NPI number 1528048931
LBN Legal business name Hostetter, Robert Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 20th, 2007 - about 14 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 1528048931 NPPES
California MEDICAID 00G336500

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