Van Dissel, Ghislaine N S

Van Dissel, Ghislaine N S is an individual health care provider with primary practice located at 5300 Snyder Ln Suite A, Rohnert Park CA 94928-2915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Van Dissel, Ghislaine N S can be contacted via phone (707) 585-8347.

Contact Information

Primary practice address
5300 Snyder Ln Suite A Rohnert Park CA 94928-2915
Phone: (707) 585-8347
Fax: (707) 585-8056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A9061 California

Profile Details

NPI number 1851337950
LBN Legal business name Van Dissel, Ghislaine N S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Nov 21st, 2014 - about 12 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 1851337950 NPPES
California MEDICAID 00AX90610

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