Chandavong, Catherine

Chandavong, Catherine is an individual health care provider with primary practice located at 3001 Douglas Blvd Ste 150 , Roseville CA 95661-3853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chandavong, Catherine can be contacted via phone (916) 241-9844.

Contact Information

Primary practice address
3001 Douglas Blvd Ste 150 Roseville CA 95661-3853
Phone: (916) 241-9844
Fax: (916) 241-9845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21878 California

Profile Details

NPI number 1942552344
LBN Legal business name Chandavong, Catherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Dec 30th, 2021 - about 5 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 1942552344 NPPES
California Other 21878 NP
California Other 606698 NP

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