Dennis, John Matthew

Dennis, John Matthew is an individual health care provider with primary practice located at 2914A Cold Springs Rd , Placerville CA 95667-4220. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dennis, John Matthew can be contacted via phone (530) 642-1715.

Contact Information

Primary practice address
2914A Cold Springs Rd Placerville CA 95667-4220
Fax: (530) 642-2064
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1838 REG. California

Profile Details

NPI number 1225162480
LBN Legal business name Dennis, John Matthew
Credentials CAS REG.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 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 1225162480 NPPES
California Other 1838 REG. CAS REG.

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