Chavez, Jose Carlos

Chavez, Jose Carlos is an individual health care provider with primary practice located at 850 W Highland Ave Suite A, San Bernardino CA 92405-3855. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as his primary health care specialty. Chavez, Jose Carlos can be contacted via phone (909) 886-7576.

Contact Information

Primary practice address
850 W Highland Ave Suite A San Bernardino CA 92405-3855
Phone: (909) 886-7576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X 14641 California

Profile Details

NPI number 1629234893
LBN Legal business name Chavez, Jose Carlos
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Mar 12th, 2014 - 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 1629234893 NPPES
California MEDICAID 1629234893

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