Bozdech, Marek
Bozdech, Marek is an individual health care provider with primary practice located at 121 Sotoyome St , Santa Rosa CA 95405-4823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bozdech, Marek can be contacted via phone (707) 546-4062.Contact Information
Primary practice address
121 Sotoyome St
Santa Rosa CA 95405-4823
Phone: (707) 546-4062
Fax: (707) 525-4071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G29386 | California |
Profile Details
| NPI number | 1679590509 |
|---|---|
| LBN Legal business name | Bozdech, Marek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Feb 17th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679590509 | NPPES |
| California | MEDICAID | 00G293860 |
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