Chennell, Irene
Chennell, Irene is an individual health care provider with primary practice located at 225 E 2Nd Ave Suite 310, Escondido CA 92025-4238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Chennell, Irene can be contacted via phone (760) 738-9985.Contact Information
Primary practice address
225 E 2Nd Ave Suite 310
Escondido CA 92025-4238
Phone: (760) 738-9985
Fax: (760) 738-0590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G36959 | California |
Profile Details
| NPI number | 1225020803 |
|---|---|
| LBN Legal business name | Chennell, Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1225020803 | NPPES |
| California | MEDICAID | 00G369590 |
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