Depolo, John Lawrence

Depolo, John Lawrence is an sole proprietor health care provider with primary practice located at 1801 E March Ln Suite C300, Stockton CA 95210-6629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Depolo, John Lawrence can be contacted via phone (209) 948-1425.

Contact Information

Primary practice address
1801 E March Ln Suite C300 Stockton CA 95210-6629
Phone: (209) 948-1425
Fax: (209) 464-0193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A22978 California

Profile Details

NPI number 1619907359
LBN Legal business name Depolo, John Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Sep 19th, 2007 - about 19 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 1619907359 NPPES
California MEDICAID 00A229780

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