Demitz, Charles Geoffrey

Demitz, Charles Geoffrey is an individual health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Demitz, Charles Geoffrey can be contacted via phone (707) 546-3210.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 546-3210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C34599 California

Profile Details

NPI number 1477502904
LBN Legal business name Demitz, Charles Geoffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
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 1477502904 NPPES
California MEDICAID 00C345990

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