Cortez, Allen William

Cortez, Allen William is an individual health care provider with primary practice located at 1701 4Th St Ste 200, Santa Rosa CA 95404-3601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cortez, Allen William can be contacted via phone (707) 579-2100.

Contact Information

Primary practice address
1701 4Th St Ste 200 Santa Rosa CA 95404-3601
Phone: (707) 579-2100
Fax: (707) 523-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G76718 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G76718 California

Profile Details

NPI number 1518916089
LBN Legal business name Cortez, Allen William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 7th, 2012 - about 12 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 1518916089 NPPES
California MEDICAID 00G767181
California Other P00469229
California Other 00G767180
California MEDICAID 00G767180

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