Vance, Chardonnay

Vance, Chardonnay is an sole proprietor health care provider with primary practice located at 181 W Jewett Blvd , White Salmon WA 98672-8974. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Vance, Chardonnay can be contacted via phone (509) 289-2119.

Contact Information

Primary practice address
181 W Jewett Blvd White Salmon WA 98672-8974
Fax:
Website:

Profile Details

NPI number 1164834347
LBN Legal business name Vance, Chardonnay
Credentials MD PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2014
Last updated Mar 13th, 2023 - 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 1164834347 NPPES
Washington MEDICAID 2080300

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