Defischer, Irina

Defischer, Irina is an individual health care provider with primary practice located at 3900 Lakeville Hwy , Petaluma CA 94954-5698. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Defischer, Irina can be contacted via phone (707) 765-3900.

Contact Information

Primary practice address
3900 Lakeville Hwy Petaluma CA 94954-5698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A40015 California

Profile Details

NPI number 1770635575
LBN Legal business name Defischer, Irina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770635575 NPPES
California MEDICAID 00A400150

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