Dilisio, Ralph Edward

Dilisio, Ralph Edward is an sole proprietor health care provider with primary practice located at 585 W College Ave , Santa Rosa CA 95401-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Dilisio, Ralph Edward can be contacted via phone (707) 526-3500.

Contact Information

Primary practice address
585 W College Ave Santa Rosa CA 95401-5000
Fax: (707) 526-2358
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G87397 California

Profile Details

NPI number 1124085378
LBN Legal business name Dilisio, Ralph Edward
Credentials M.D., F.C.C.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Nov 28th, 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 1124085378 NPPES
California MEDICAID 00G873970

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