Welter, Stephen Edward

Welter, Stephen Edward is an sole proprietor health care provider with primary practice located at 100 Thorndale Drive Medical Clinic, San Rafael CA 94903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Welter, Stephen Edward can be contacted via phone (415) 492-2410.

Contact Information

Primary practice address
100 Thorndale Drive Medical Clinic San Rafael CA 94903
Phone: (415) 492-2410
Fax: (415) 499-8395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G37927 California

Profile Details

NPI number 1801906136
LBN Legal business name Welter, Stephen Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Apr 4th, 2022 - about 4 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 1801906136 NPPES
California MEDICAID 00G379270

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