Chambers Iii, Henry Forrest

Chambers Iii, Henry Forrest is an individual health care provider with primary practice located at 1001 Potrero Avenue Bldg 30 4Th Floor, San Francisco CA 94110-3518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Chambers Iii, Henry Forrest can be contacted via phone (415) 206-5438.

Contact Information

Primary practice address
1001 Potrero Avenue Bldg 30 4Th Floor San Francisco CA 94110-3518
Phone: (415) 206-5438
Fax: (415) 648-8425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G39518 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G39518 California

Profile Details

NPI number 1184715773
LBN Legal business name Chambers Iii, Henry Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 3rd, 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 1184715773 NPPES
California MEDICAID 00G395180

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