Tanasovich, Cheryl Ann

Tanasovich, Cheryl Ann is an sole proprietor health care provider with primary practice located at 1300 S Eliseo Dr Suite 207, Greenbrae CA 94904-2023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Tanasovich, Cheryl Ann can be contacted via phone (415) 925-0550.

Contact Information

Primary practice address
1300 S Eliseo Dr Suite 207 Greenbrae CA 94904-2023
Phone: (415) 925-0550
Fax: (415) 925-9062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G53455 California

Profile Details

NPI number 1215960844
LBN Legal business name Tanasovich, Cheryl Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Jul 18th, 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 1215960844 NPPES
California Other 00G534551 MEDI-CAL PROVIDER NUMBER
California Other 931041613 MEDI-CAL PROVIDER NUMBER
California Other 0004133440 MEDI-CAL PROVIDER NUMBER
California Other 00G534550 MEDI-CAL PROVIDER NUMBER
California Other 070003525 MEDI-CAL PROVIDER NUMBER

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