Van Dolson, Leo Ray

Van Dolson, Leo Ray is an individual health care provider with primary practice located at 7078 Skyway , Paradise CA 95969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Van Dolson, Leo Ray can be contacted via phone (530) 877-0700.

Contact Information

Primary practice address
7078 Skyway Paradise CA 95969
Fax: (530) 877-0765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G34839 California

Profile Details

NPI number 1174536445
LBN Legal business name Van Dolson, Leo Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 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 1174536445 NPPES
California MEDICAID 00G348390

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