Tazewell, Christine G
Tazewell, Christine G is an individual health care provider with primary practice located at 1524 Mchenry Ave Suite 310, Modesto CA 95350-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tazewell, Christine G can be contacted via phone (209) 575-4700.Contact Information
Primary practice address
1524 Mchenry Ave Suite 310
Modesto CA 95350-4500
Phone: (209) 575-4700
Fax: (209) 577-6699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G66546 | California |
Profile Details
| NPI number | 1689661811 |
|---|---|
| LBN Legal business name | Tazewell, Christine G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 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 | 1689661811 | NPPES |
| California | MEDICAID | 00G665460 |
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