Chavez, Juan G
Chavez, Juan G is an sole proprietor health care provider with primary practice located at 5260 N Palm Ave Ste 201 , Fresno CA 93704-2217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chavez, Juan G can be contacted via phone (559) 840-0066.Contact Information
Primary practice address
5260 N Palm Ave Ste 201
Fresno CA 93704-2217
Phone: (559) 840-0066
Fax: (559) 272-0479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A67620 | California |
Profile Details
| NPI number | 1972500924 |
|---|---|
| LBN Legal business name | Chavez, Juan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Dec 19th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972500924 | NPPES |
| California | MEDICAID | 00A676201 |
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