Shidyak, Ghassan E
Shidyak, Ghassan E is an sole proprietor health care provider with primary practice located at 1531 Esplanade Ste 130 , Chico CA 95926-3310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shidyak, Ghassan E can be contacted via phone (530) 332-7300.Contact Information
Primary practice address
1531 Esplanade Ste 130
Chico CA 95926-3310
Phone: (530) 332-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 8996 | North Dakota |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C55462 | California |
Profile Details
| NPI number | 1760553812 |
|---|---|
| LBN Legal business name | Shidyak, Ghassan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jun 15th, 2023 - about last year |
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 | 1760553812 | NPPES |
| North Dakota | MEDICAID | 11906 |
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