National Provider Identifier Database

MICHELLE G CHURCH, MD – NPI #1659426575
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

MICHELLE G CHURCH, MD
2458 HILBORN RD
FAIRFIELD, CA94534-1072
Phone: 707-399-1000
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MICHELLE G CHURCH

NPI Number 1659426575
Credentials MD
Entity Individual
Enumeration date 01/23/2007
Last updated 06/03/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A76023
  • TX License #: M6623
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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