Dizon, Genesisjames Basilio

Dizon, Genesisjames Basilio is an individual health care provider with primary practice located at 3167 Saint Charles St , San Diego CA 92110-4861. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Dizon, Genesisjames Basilio can be contacted via phone (661) 370-8688.

Contact Information

Primary practice address
3167 Saint Charles St San Diego CA 92110-4861
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1033541966
LBN Legal business name Dizon, Genesisjames Basilio
Credentials SFIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2013
Last updated Aug 1st, 2013 - about 11 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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