Chacon, Mayder

Chacon, Mayder is an sole proprietor health care provider with primary practice located at 8902 Woodman Ave , Arleta CA 91331-6401. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Chacon, Mayder can be contacted via phone (818) 830-7033.

Contact Information

Primary practice address
8902 Woodman Ave Arleta CA 91331-6401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 583986 California

Profile Details

NPI number 1194921965
LBN Legal business name Chacon, Mayder
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1194921965 NPPES
California Other EAP70468F EAPC PROGRAM

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