Chin, Stephen Douglas
Chin, Stephen Douglas is an individual health care provider with primary practice located at 350 Hawthorne Ave Emergency Dept, Oakland CA 94609-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chin, Stephen Douglas can be contacted via phone (510) 869-8700.Contact Information
Primary practice address
350 Hawthorne Ave Emergency Dept
Oakland CA 94609-3108
Phone: (510) 869-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G80748 | California |
Profile Details
| NPI number | 1760458954 |
|---|---|
| LBN Legal business name | Chin, Stephen Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Apr 14th, 2015 - about 9 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 | 1760458954 | NPPES |
| California | MEDICAID | 00G807480 |
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