Elizaga, Chantal

Elizaga, Chantal is an sole proprietor health care provider with primary practice located at 50 Acacia Ave , San Rafael CA 94901-2230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Elizaga, Chantal can be contacted via phone (415) 457-4440.

Contact Information

Primary practice address
50 Acacia Ave San Rafael CA 94901-2230
Phone: (415) 457-4440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 60625 California

Profile Details

NPI number 1720693682
LBN Legal business name Elizaga, Chantal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2020
Last updated Feb 10th, 2022 - about 3 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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