Chavez, Eric M

Chavez, Eric M is an individual health care provider with primary practice located at 770 Washington St Ste 200 Artemis Medical Group, San Diego CA 92103-2209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chavez, Eric M can be contacted via phone (858) 278-3636.

Contact Information

Primary practice address
770 Washington St Ste 200 Artemis Medical Group San Diego CA 92103-2209
Phone: (858) 278-3636
Fax: (858) 278-3637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 057056 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A67412 California
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X A67412 California

Profile Details

NPI number 1902813157
LBN Legal business name Chavez, Eric M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 10th, 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 1902813157 NPPES
California MEDICAID 00A674120

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