Genobaga, James Earl

Genobaga, James Earl is an individual health care provider with primary practice located at 367 Del Norte Ave Suite 1, Yuba City CA 95991-4116. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Genobaga, James Earl can be contacted via phone (530) 763-4231.

Contact Information

Primary practice address
367 Del Norte Ave Suite 1 Yuba City CA 95991-4116
Phone: (530) 763-4231
Fax: (530) 763-4316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4387 Arizona

Profile Details

NPI number 1285687715
LBN Legal business name Genobaga, James Earl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 20th, 2011 - about 14 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 1285687715 NPPES
Arizona MEDICAID 146333

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