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
Phone: (707) 765-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770635575 | NPPES |
| California | MEDICAID | 00A400150 |
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