Luisi, Marcia Ann

Luisi, Marcia Ann is an sole proprietor health care provider with primary practice located at 990 Sonoma Ave Suite #3, Santa Rosa CA 95404-4802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Luisi, Marcia Ann can be contacted via phone (707) 546-5487.

Contact Information

Primary practice address
990 Sonoma Ave Suite #3 Santa Rosa CA 95404-4802
Phone: (707) 546-5487
Fax: (707) 546-5488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G61709 California

Profile Details

NPI number 1053408021
LBN Legal business name Luisi, Marcia Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1053408021 NPPES
California MEDICAID 00G617090

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