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Contact Information

MICHELLE K FAN, PH.D (O.M.D.)
777 CAMPUS COMMONS ROAD
SUITE 160
SACRAMENTO, CA95825
 Phone: 916-929-6778
 Fax: 916-929-6976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for MICHELLE K FAN · (Female)

NPI # 1003900598
Status Active
Credentials PH.D (O.M.D.)
Entity Individual
Enumeration date 10/02/2006
Last updated 11/01/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # AC4484
  • CA Medicaid AC0044840
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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