MEDICARE: DR. DENNIS JAMES CHAMBERLAIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	C34605	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437153335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS JAMES CHAMBERLAIN MD

Provider Business Mailing Address
First Line	:	202 GREEN VALLEY RD
Second Line	:
City	:	FREEDOM
State	:	CA
Zip	:	95019-3135
Country	:	US
Telephone Number	:	831-722-2473
Fax Number	:	831-722-2067

Provider Business Practice Location Address
First Line	:	202 GREEN VALLEY RD
Second Line	:
City	:	FREEDOM
State	:	CA
Zip	:	95019-3135
Country	:	US
Telephone Number	:	831-722-2473
Fax Number	:	831-722-2067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	07/09/2007

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