Minkow, Roger Evan

Minkow, Roger Evan is an sole proprietor health care provider with primary practice located at 735 H St , Petaluma CA 94952-4936. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Minkow, Roger Evan can be contacted via phone (707) 696-4469.

Contact Information

Primary practice address
735 H St Petaluma CA 94952-4936
Phone: (707) 696-4469
Fax: (707) 778-7204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A26185 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A26185 California

Profile Details

NPI number 1669719043
LBN Legal business name Minkow, Roger Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2013
Last updated Jan 6th, 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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