Thepmontry-Nhep, Chance

Thepmontry-Nhep, Chance is an individual health care provider with primary practice located at 245 Terracina Blvd Ste 102 , Redlands CA 92373-4865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Thepmontry-Nhep, Chance can be contacted via phone (909) 792-2605.

Contact Information

Primary practice address
245 Terracina Blvd Ste 102 Redlands CA 92373-4865
Phone: (909) 792-2605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP95015055 California

Profile Details

NPI number 1487267233
LBN Legal business name Thepmontry-Nhep, Chance
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2020
Last updated Oct 29th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487267233 NPPES
California MEDICAID 95015055

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