Chagnon, Aimee C
Chagnon, Aimee C is an sole proprietor health care provider with primary practice located at 1456 Professional Dr Ste 402 , Petaluma CA 94954-6639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Chagnon, Aimee C can be contacted via phone (707) 938-7951.Contact Information
Primary practice address
1456 Professional Dr Ste 402
Petaluma CA 94954-6639
Phone: (707) 938-7951
Fax: (707) 938-7260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | A77824 | California |
Profile Details
| NPI number | 1548450448 |
|---|---|
| LBN Legal business name | Chagnon, Aimee C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548450448 | NPPES |
| California | Other | FHO49Z | PTAN |
| California | Other | 00A778242 | PTAN |
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