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Contact Information

BASIL C HAMBLIN, MD
11150 STATE ROUTE ONE
POINT REYES STATION, CA94956
 Phone: 415-663-8666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BASIL C HAMBLIN · (Male)

NPI Number 1114095106
Status Active
Credentials MD
Entity Individual
Enumeration date 11/30/2006
Last updated 11/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A76893
  • CA Medicaid 00A768930
Hospital affiliation(s)
  • MARIN GENERAL HOSPITAL - (Acute Care)
    250 BON AIR ROAD, PO BOX 8010
    GREENBRAE, CA 94904
  • NOVATO COMMUNITY HOSPITAL - (Acute Care)
    180 ROWLAND WAY
    NOVATO, CA 94945
  • PETALUMA VALLEY HOSPITAL - (Acute Care)
    400 N MCDOWELL BLVD
    PETALUMA, CA 94954
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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