Individual
MR. CHAD SHEESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1020 29TH ST, 450, SACRAMENTO, CA 95816-5125
(916) 733-5066
(916) 733-8705
Mailing address
1020 29TH ST, 450, SACRAMENTO, CA 95816-5125
(916) 733-5066
(916) 733-8705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0PA172110
—
CA
Enumeration date
03/09/2007
Last updated
07/08/2007
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