Chipman, Terri

Chipman, Terri is an individual health care provider with primary practice located at 100 S Ellsworth Ave Ste 308 , San Mateo CA 94401-3931. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Chipman, Terri can be contacted via phone (650) 344-6896.

Contact Information

Primary practice address
100 S Ellsworth Ave Ste 308 San Mateo CA 94401-3931
Phone: (650) 344-6896
Fax: (650) 344-2794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G60100 California

Profile Details

NPI number 1427078377
LBN Legal business name Chipman, Terri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427078377 NPPES
California Other ZZZ80557Z BLUE SHIELD
California MEDICAID 00G601000 BLUE SHIELD

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