Hollander, John Dirk

Hollander, John Dirk is an individual health care provider with primary practice located at 95 Montgomery Dr Ste 114 , Santa Rosa CA 95404-6617. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hollander, John Dirk can be contacted via phone (707) 578-1222.

Contact Information

Primary practice address
95 Montgomery Dr Ste 114 Santa Rosa CA 95404-6617
Phone: (707) 578-1222
Fax: (707) 578-8348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E2845 California

Profile Details

NPI number 1104822758
LBN Legal business name Hollander, John Dirk
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Oct 6th, 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 1104822758 NPPES
California MEDICAID 000E28450

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