Alsofrom, Dennis
Alsofrom, Dennis is an individual health care provider with primary practice located at 1524 Mchenry Ave Suite 100, Modesto CA 95350-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alsofrom, Dennis can be contacted via phone (209) 577-4444.Contact Information
Primary practice address
1524 Mchenry Ave Suite 100
Modesto CA 95350-4500
Phone: (209) 577-4444
Fax: (209) 527-2069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G61941 | California |
Profile Details
| NPI number | 1598707440 |
|---|---|
| LBN Legal business name | Alsofrom, Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 28th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598707440 | NPPES |
| California | MEDICAID | 00G619410 | |
| California | Other | G61941 |
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