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:
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Health care specialties

SpecialtyCodeLicense #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 2 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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