Chambers, Ronald G

Chambers, Ronald G is an sole proprietor health care provider with primary practice located at 4174 Ashby Ct , Shasta Lake CA 96019-9215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chambers, Ronald G can be contacted via phone (530) 275-3094.

Contact Information

Primary practice address
4174 Ashby Ct Shasta Lake CA 96019-9215
Phone: (530) 275-3094
Fax: (530) 275-0803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G27170 California

Profile Details

NPI number 1215920319
LBN Legal business name Chambers, Ronald G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Mar 7th, 2023 - about 3 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 1215920319 NPPES
California Other 05D0714372 CLIA NUMBER
California Other 21565 CLIA NUMBER
California Other BLUE CROSS CLIA NUMBER
California Other 4490118 CLIA NUMBER
California Other 1243370356 CLIA NUMBER
California MEDICAID 1861616567 CLIA NUMBER
California Other ZZZ01370Z CLIA NUMBER
California Other BLUE SHIELD CLIA NUMBER
California Other ZZZ01370Z CLIA NUMBER
California Other 00G271700 CLIA NUMBER
California MEDICAID 00G271700 CLIA NUMBER
California Other 013204 CLIA NUMBER
California Other G27170 CLIA NUMBER

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