Pappas, Peter Bernard Albert

Pappas, Peter Bernard Albert is an sole proprietor health care provider with primary practice located at 76 Brookwood Ave , Santa Rosa CA 95404-4312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Pappas, Peter Bernard Albert can be contacted via phone (707) 523-2381.

Contact Information

Primary practice address
76 Brookwood Ave Santa Rosa CA 95404-4312
Phone: (707) 523-2381
Fax: (707) 523-2677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G74506 California

Profile Details

NPI number 1003980566
LBN Legal business name Pappas, Peter Bernard Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 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 1003980566 NPPES
California Other 680468716 TAX ID
California MEDICAID 00G745060 TAX ID

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