Chislom, Channel Devon

Chislom, Channel Devon is an individual health care provider with primary practice located at 4193 Flat Rock Dr , Riverside CA 92505-7111. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Chislom, Channel Devon can be contacted via phone (747) 202-9158.

Contact Information

Primary practice address
4193 Flat Rock Dr Riverside CA 92505-7111
Phone: (747) 202-9158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1851008718
LBN Legal business name Chislom, Channel Devon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2022
Last updated Nov 1st, 2022 - about 4 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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