Healthcare Provider Details
I. General information
NPI: 1578598058
Provider Name (Legal Business Name): CHICO EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2006
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1531 ESPLANADE
CHICO CA
95926-3310
US
IV. Provider business mailing address
1531 ESPLANADE
CHICO CA
95926-3310
US
V. Phone/Fax
- Phone: 530-332-7700
- Fax: 530-893-6936
- Phone: 530-332-7700
- Fax: 530-893-6936
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
VOELKER
Title or Position: PRESIDENT
Credential:
Phone: 530-332-7700