Chamberlain, Jennifer C

Chamberlain, Jennifer C is an individual health care provider with primary practice located at 1850 Gause Blvd E , Slidell LA 70461-5442. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Chamberlain, Jennifer C can be contacted via phone (985) 639-3777.

Contact Information

Primary practice address
1850 Gause Blvd E Slidell LA 70461-5442
Phone: (985) 639-3777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Louisiana
Allopathic & Osteopathic Physicians / Urology 208800000X MD.204347 Louisiana

Profile Details

NPI number 1265669295
LBN Legal business name Chamberlain, Jennifer C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Apr 21st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265669295 NPPES
Mississippi MEDICAID 03971341
Mississippi MEDICAID 1935808

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