O'Dorisio, James Edward

O'Dorisio, James Edward is an individual health care provider with primary practice located at 76 Brookwood Ave , Santa Rosa CA 95404-4312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. O'Dorisio, James Edward can be contacted via phone (707) 578-3000.

Contact Information

Primary practice address
76 Brookwood Ave Santa Rosa CA 95404-4312
Phone: (707) 578-3000
Fax: (707) 540-6407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A44147 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A44147 California

Profile Details

NPI number 1598820219
LBN Legal business name O'Dorisio, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598820219 NPPES
Other P00462712 RAILROAD MEDICARE
MEDICAID 00A441470 RAILROAD MEDICARE
Other 00A441470 RAILROAD MEDICARE

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