Chalet, Marc David
Chalet, Marc David is an sole proprietor health care provider with primary practice located at 2811 Wilshire Blvd Suite 615, Santa Monica CA 90403-4803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Chalet, Marc David can be contacted via phone (310) 828-4071.Contact Information
Primary practice address
2811 Wilshire Blvd Suite 615
Santa Monica CA 90403-4803
Phone: (310) 828-4071
Fax: (310) 828-6734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G38996 | California |
Profile Details
| NPI number | 1780613588 |
|---|---|
| LBN Legal business name | Chalet, Marc David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Mar 13th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780613588 | NPPES |
| California | Other | 00G389960 | BLUE SHIELD |
| California | MEDICAID | 00G389960 | BLUE SHIELD |
| California | Other | G38996 | BLUE SHIELD |
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