Chad Blaise Krilich in Santa Rosa - Family Medicine
Chad Blaise Krilich - NPI 1932115771
Chad Blaise Krilich is a Family Medicine in Santa Rosa, California. Chad Blaise Krilich practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Chad Blaise Krilich is 1932115771. The last update date is 2023-05-11.
Chad Blaise Krilich's current location address is 5656 Eastlake Dr, Santa Rosa, California. You can contact this provider via phone number 2536771625. The mailing address for Chad Blaise Krilich is 5656 Eastlake Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Blaise Krilich |
|---|---|
| Address | 5656 Eastlake Dr, Santa Rosa, California |
| Phone Number | 2536771625 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932115771 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2023-05-11 |
Provider Mailing Address Detail
| Address | 5656 Eastlake Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954093075 |
| Phone Number | 2536771625 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00042765 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8389223 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Chad Blaise Krilich by the Centers for Medicare & Medicaid Services?
The Chad Blaise Krilich has been assigned the NPI (National Provider Identifier) 1932115771. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Chad Blaise Krilich's facilities are situated?
The facilities of Chad Blaise Krilich are physically located at the following address: 5656 Eastlake Dr, Santa Rosa, CA, 954093075.
What is the Chad Blaise Krilich's specialty and taxonomy code?
The Chad Blaise Krilich's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932115771 to Chad Blaise Krilich?
The Chad Blaise Krilich received its 1932115771 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date was the information regarding Chad Blaise Krilich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Chad Blaise Krilich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-11.
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