Peitz, Thomas John

Peitz, Thomas John is an individual health care provider with primary practice located at 3883 Airway Dr Ste 120 , Santa Rosa CA 95403-1678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peitz, Thomas John can be contacted via phone (707) 521-4495.

Contact Information

Primary practice address
3883 Airway Dr Ste 120 Santa Rosa CA 95403-1678
Phone: (707) 521-4495
Fax: (707) 573-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G72830 California

Profile Details

NPI number 1770574097
LBN Legal business name Peitz, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated May 18th, 2023 - about last year

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 1770574097 NPPES
California Other OOG728300 BLUE SHIELD
California Other G72830 BLUE SHIELD

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