Alchemy, John W.

Alchemy, John W. is an individual health care provider with primary practice located at 1221 N Dutton Ave , Santa Rosa CA 95401-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alchemy, John W. can be contacted via phone (707) 543-8360.

Contact Information

Primary practice address
1221 N Dutton Ave Santa Rosa CA 95401-4607
Phone: (707) 543-8360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A55085 California

Profile Details

NPI number 1659443307
LBN Legal business name Alchemy, John W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1659443307 NPPES
California MEDICAID 00A550850

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