Mitchell Charonnat, Terry

Mitchell Charonnat, Terry is an sole proprietor health care provider with primary practice located at 744 52Nd St Suite 4200, Oakland CA 94609-1810. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Mitchell Charonnat, Terry can be contacted via phone (510) 658-3277.

Contact Information

Primary practice address
744 52Nd St Suite 4200 Oakland CA 94609-1810
Phone: (510) 658-3277
Fax: (877) 769-9966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU 508 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA 1980 California

Profile Details

NPI number 1881842318
LBN Legal business name Mitchell Charonnat, Terry
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2008
Last updated Feb 11th, 2022 - about 3 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 1881842318 NPPES
California MEDICAID AU000508003
California Other ZZZ15159Z

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