Bisbee, George William

Bisbee, George William is an individual health care provider with primary practice located at 500 Doyle Park Dr Ste G03, Santa Rosa CA 95405-4559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bisbee, George William can be contacted via phone (707) 544-3411.

Contact Information

Primary practice address
500 Doyle Park Dr Ste G03 Santa Rosa CA 95405-4559
Phone: (707) 544-3411
Fax: (707) 544-0834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C36417 California

Profile Details

NPI number 1235122516
LBN Legal business name Bisbee, George William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 17th, 2009 - about 16 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 1235122516 NPPES
California Other P00450256 RAILROAD MEDICARE
California Other 00C364170 RAILROAD MEDICARE
California MEDICAID 00C364170 RAILROAD MEDICARE

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