Chairsell, J. Frederick
Chairsell, J. Frederick is an individual health care provider with primary practice located at 190 Good Dr , Lancaster PA 17603-2353. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Chairsell, J. Frederick can be contacted via phone (717) 394-3033.Contact Information
Primary practice address
190 Good Dr
Lancaster PA 17603-2353
Phone: (717) 394-3033
Fax: (717) 390-2641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | DS018475L | Pennsylvania |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS018475L | Pennsylvania |
Profile Details
| NPI number | 1588634877 |
|---|---|
| LBN Legal business name | Chairsell, J. Frederick |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Aug 2nd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588634877 | NPPES |
| Pennsylvania | Other | 32271 | BLUE SHIELD ID NUMBER |
| Pennsylvania | Other | 231944530 | BLUE SHIELD ID NUMBER |
| Pennsylvania | MEDICAID | 1730835 | BLUE SHIELD ID NUMBER |
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