Nimtz, John Walter

Nimtz, John Walter is an sole proprietor health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Nimtz, John Walter can be contacted via phone (707) 546-3210.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 546-3210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G44002 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G44002 California

Profile Details

NPI number 1851341804
LBN Legal business name Nimtz, John Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Nov 9th, 2021 - about 3 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 1851341804 NPPES
California MEDICAID 00G440020

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