Doctor Name: | CHRIS WILLIAM REHM |
NPI Number: | 1053528521 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RDO |
License Number: | SL561 CL4021 |
Business Practice Address: | 526 E Perkins St Ukiah, CA - 954824509 |
Business Phone Number: | 7074632020 |
Business Fax Number: | 7074685675 |
Mailing Address: | 526 E Perkins St, UKIAH |
State: | CA |
Postal Code: | 954824509 |
Phone Number: | 7074632020 |
Fax Number: | 7074685675 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 11/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | SL561 CL4021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |