Nathan, Neil J

Nathan, Neil J is an individual health care provider with primary practice located at 3471 Regional Pkwy , Santa Rosa CA 95403-8209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nathan, Neil J can be contacted via phone (707) 575-5180.

Contact Information

Primary practice address
3471 Regional Pkwy Santa Rosa CA 95403-8209
Phone: (707) 575-5180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R5C40 Missouri

Profile Details

NPI number 1174510788
LBN Legal business name Nathan, Neil J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Apr 1st, 2009 - 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 1174510788 NPPES
Other P00140692 RR MEDICARE

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