| Shelleen E Denno Md Inc. | |
|
2285 Olivet Ln Santa Rosa CA 95401-3860 | |
| (707) 280-4039 | |
| (707) 542-1039 |
| Full Name | Shelleen E Denno Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2285 Olivet Ln, Santa Rosa, California |
| Authorized Official Name and Position | Shelleen E Denno (PRESIDENT) |
| Authorized Official Contact | 7072804039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelleen E Denno Md Inc. 2285 Olivet Ln Santa Rosa CA 95401-3860 Ph: (707) 280-4039 | Shelleen E Denno Md Inc. 2285 Olivet Ln Santa Rosa CA 95401-3860 Ph: (707) 280-4039 |
| NPI Number | 1114382751 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 7315241015 |
|---|---|
| Medicare Enrollment ID | O20160201000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114382751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50098 (California) | Primary |
| Provider Name | Shelleen E Denno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871567164 PECOS PAC ID: 5597932137 Enrollment ID: I20120123000049 |
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