Devore, James Charles
Devore, James Charles is an individual health care provider with primary practice located at 500 Doyle Park Dr Suite G04, Santa Rosa CA 95405-4558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devore, James Charles can be contacted via phone (707) 303-8360.Contact Information
Primary practice address
500 Doyle Park Dr Suite G04
Santa Rosa CA 95405-4558
Phone: (707) 303-8360
Fax: (707) 303-8361
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G32000 | California |
Profile Details
NPI number | 1043273469 |
---|---|
LBN Legal business name | Devore, James Charles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2006 |
Last updated | Oct 21st, 2021 - about 4 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 | 1043273469 | NPPES |
California | MEDICAID | 00G320000 |
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