Chambers, Carolyn A

Chambers, Carolyn A is an individual health care provider with primary practice located at 770 Balgreen Dr , Mansfield OH 44906-4106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chambers, Carolyn A can be contacted via phone (419) 522-6800.

Contact Information

Primary practice address
770 Balgreen Dr Mansfield OH 44906-4106
Phone: (419) 522-6800
Fax: (419) 522-6816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD049267L Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.096570 Ohio

Profile Details

NPI number 1639151715
LBN Legal business name Chambers, Carolyn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated May 17th, 2021 - about 5 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 1639151715 NPPES
Pennsylvania MEDICAID 0014136500013
Pennsylvania MEDICAID 3119691

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