Dr. Charlene Renee Chan
Orthodontists
6800 Palm Ave Suite B
Sebastopol
, California 95472-4269
Dr. Charlene Renee Chan
Orthodontists
6800 Palm Ave Suite B
Sebastopol
, California 95472-4269
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Charlene Renee Chan
- 6800 Palm Ave Suite B
- Sebastopol, CA
- Zip : 95472-4269
- Phone :
Second Address
- Dr. Charlene Renee Chan
- 6800 Palm Ave Suite B
- Sebastopol, CA
- Zip : 95472-4269
- Fax : (707) 823-5363
- Phone : (707) 823-1200
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FAQs
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Is Dr. Charlene Renee Chan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 036066 | CA |
National Provider Identifier
| NPI | 1043349111 |
|---|---|
| Provider Name | Dr. Charlene Renee Chan |
| First Address | Sebastopol, CA 95472-4269 |
| Second Address | Sebastopol, CA 95472-4269 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.