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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JILLIAN M CHELSON, PA-C
2222 BANCROFT EXT
BERKELEY, CA94720-4300
 Phone: 510-642-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JILLIAN M CHELSON · (Female)

NPI # 1003013269
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/29/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 14574
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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