Correia, Dorothy R

Correia, Dorothy R is an individual health care provider with primary practice located at 1860 Pennsylvania Ave Ste 200 , Fairfield CA 94533-3550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Correia, Dorothy R can be contacted via phone (707) 646-4180.

Contact Information

Primary practice address
1860 Pennsylvania Ave Ste 200 Fairfield CA 94533-3550
Phone: (707) 646-4180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20514 California

Profile Details

NPI number 1215070339
LBN Legal business name Correia, Dorothy R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 11th, 2021 - about 3 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 1215070339 NPPES
Arizona MEDICAID 951584

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