Chancellor, Melissa Marie
Chancellor, Melissa Marie is an sole proprietor health care provider with primary practice located at 2999 Regent St Ste 225 , Berkeley CA 94705-2117. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Chancellor, Melissa Marie can be contacted via phone (510) 704-7760.Contact Information
Primary practice address
2999 Regent St Ste 225
Berkeley CA 94705-2117
Phone: (510) 704-7760
Fax: (510) 704-7765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA19032 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA19032 | California |
Profile Details
NPI number | 1518183573 |
---|---|
LBN Legal business name | Chancellor, Melissa Marie |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 18th, 2007 |
Last updated | Oct 30th, 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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