Convalecer, William Dechavez

Convalecer, William Dechavez is an individual health care provider with primary practice located at 1509 Wilson Terrace Glendale Adventist Medical Center, Glendale CA 91206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Convalecer, William Dechavez can be contacted via phone (818) 409-8000.

Contact Information

Primary practice address
1509 Wilson Terrace Glendale Adventist Medical Center Glendale CA 91206
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28919 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 7256117-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C54615 California

Profile Details

NPI number 1699794594
LBN Legal business name Convalecer, William Dechavez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 12th, 2021 - 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 1699794594 NPPES
South Carolina Other 28919 STATE MEDICAL LICENSE
South Carolina Other 2009-00340 STATE MEDICAL LICENSE
South Carolina Other C54615 STATE MEDICAL LICENSE
South Carolina Other M10992 STATE MEDICAL LICENSE

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