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Contact Information

MICHELLE G CHURCH, MD
2458 HILBORN RD
FAIRFIELD, CA94534-1072
 Phone: 707-399-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICHELLE G CHURCH · (Female)

NPI Number 1659426575
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2007
Last updated 06/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A76023
  • TX License # M6623
Hospital affiliation(s) Not Available
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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