D'Costa, Walter Francis

D'Costa, Walter Francis is an sole proprietor health care provider with primary practice located at 2281 Cleveland Ave , Santa Rosa CA 95403-2905. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. D'Costa, Walter Francis can be contacted via phone (707) 544-3337.

Contact Information

Primary practice address
2281 Cleveland Ave Santa Rosa CA 95403-2905
Phone: (707) 544-3337
Fax: (707) 544-0608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X RHC116746 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E2603 California

Profile Details

NPI number 1548336605
LBN Legal business name D'Costa, Walter Francis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Aug 1st, 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 1548336605 NPPES
Other 756480842 RAILROAD MEDICARE
MEDICAID 000E26030 RAILROAD MEDICARE
Other 170924000 RAILROAD MEDICARE

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