Devore, James Charles

Devore, James Charles is an individual health care provider with primary practice located at 500 Doyle Park Dr Suite G04, Santa Rosa CA 95405-4558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devore, James Charles can be contacted via phone (707) 303-8360.

Contact Information

Primary practice address
500 Doyle Park Dr Suite G04 Santa Rosa CA 95405-4558
Phone: (707) 303-8360
Fax: (707) 303-8361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G32000 California

Profile Details

NPI number 1043273469
LBN Legal business name Devore, James Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Oct 21st, 2021 - about 5 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 1043273469 NPPES
California MEDICAID 00G320000

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