Healthcare Provider Details

I. General information

NPI: 1699009936
Provider Name (Legal Business Name): CHRISTOPHER JASON SCHALGE M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 09/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 TENNESSEE ST
VALLEJO CA
94590-4453
US

IV. Provider business mailing address

408 TENNESSEE ST
VALLEJO CA
94590-4453
US

V. Phone/Fax

Practice location:
  • Phone: 707-554-2634
  • Fax:
Mailing address:
  • Phone: 707-554-2634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: