Chan-Mcnabb, Therese Eden

Chan-Mcnabb, Therese Eden is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93422-5808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Chan-Mcnabb, Therese Eden can be contacted via phone (805) 468-2000.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93422-5808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A89827 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A89827 California

Profile Details

NPI number 1477597128
LBN Legal business name Chan-Mcnabb, Therese Eden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 2nd, 2023 - about last year

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 1477597128 NPPES
California MEDICAID 00A898270

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