Geisse, John Kevin

Geisse, John Kevin is an individual health care provider with primary practice located at 2290 Sacramento St , Vallejo CA 94590-2929. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Geisse, John Kevin can be contacted via phone (707) 643-5785.

Contact Information

Primary practice address
2290 Sacramento St Vallejo CA 94590-2929
Phone: (707) 643-5785
Fax: (707) 643-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G58478 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G58478 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G58478 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G58478 California

Profile Details

NPI number 1275571028
LBN Legal business name Geisse, John Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Oct 12th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275571028 NPPES
California MEDICAID GR0023150
California Other ZZZ97788Z

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