Soderblom, Robert Eugene

Soderblom, Robert Eugene is an sole proprietor health care provider with primary practice located at 11201 Benton St 111N, Loma Linda CA 92357-1000. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Soderblom, Robert Eugene can be contacted via phone (909) 825-7084.

Contact Information

Primary practice address
11201 Benton St 111N Loma Linda CA 92357-1000
Phone: (909) 825-7084
Fax: (909) 777-3858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G12254 California

Profile Details

NPI number 1386749067
LBN Legal business name Soderblom, Robert Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 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 1386749067 NPPES
California Other AS4562193 NARCOTIC
California Other G12254 NARCOTIC

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