Chase, Kathleen A

Chase, Kathleen A is an individual health care provider with primary practice located at 2930 2Nd Ave Ste 200 , Marina CA 93933-6244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chase, Kathleen A can be contacted via phone (831) 582-2100.

Contact Information

Primary practice address
2930 2Nd Ave Ste 200 Marina CA 93933-6244
Phone: (831) 582-2100
Fax: (831) 886-1529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS10174 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47853 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A18566 California

Profile Details

NPI number 1407004591
LBN Legal business name Chase, Kathleen A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Nov 12th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407004591 NPPES
Colorado Other 020252 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 68587244 KAISER COMMERCIAL NUMBER

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