Healthcare Provider Details

I. General information

NPI: 1750706685
Provider Name (Legal Business Name): BRITTANY CHATTERTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2014
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 X ST
SACRAMENTO CA
95817-2200
US

IV. Provider business mailing address

4150 V ST STE 2400
SACRAMENTO CA
95817-1460
US

V. Phone/Fax

Practice location:
  • Phone: 707-356-5915
  • Fax:
Mailing address:
  • Phone: 916-734-7005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA151345
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: