Nakata, Dennis

Nakata, Dennis is an individual health care provider with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nakata, Dennis can be contacted via phone (559) 324-6200.

Contact Information

Primary practice address
275 W Herndon Ave Clovis CA 93612-0204
Phone: (559) 324-6200
Fax: (559) 324-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G34989 California

Profile Details

NPI number 1962483834
LBN Legal business name Nakata, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Feb 26th, 2020 - about 5 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 1962483834 NPPES
California Other 00G349890 BLUE CROSS/BLUE SHIELD
California Other 77040368493612B021 BLUE CROSS/BLUE SHIELD
California MEDICAID 00G349890 BLUE CROSS/BLUE SHIELD
California Other 110125079 BLUE CROSS/BLUE SHIELD

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