Sisemore, Daniel C

Sisemore, Daniel C is an individual health care provider with primary practice located at 36 W Yokuts Ave Suite 1, Stockton CA 95207-5713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sisemore, Daniel C can be contacted via phone (209) 952-3700.

Contact Information

Primary practice address
36 W Yokuts Ave Suite 1 Stockton CA 95207-5713
Phone: (209) 952-3700
Fax: (209) 478-3302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G11531 California

Profile Details

NPI number 1891871034
LBN Legal business name Sisemore, Daniel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1891871034 NPPES
California MEDICAID 00G115311

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