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Contact Information

NORTH STATE CANCER SPECIALTY INC
2510 AIRPARK DR
SUITE 103
REDDING, CA96001
 Phone: 530-242-8822
 Fax: 530-242-0849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NORTH STATE CANCER SPECIALTY INC · (Female)

NPI # 1396701546
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2006
Last updated 03/03/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G73860
  • OH License # 35-056102F
  • CA Medicaid 00G738600
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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