Chambers, Jack

Chambers, Jack is an individual health care provider with primary practice located at 801 Ostrum St , Bethlehem PA 18015-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chambers, Jack can be contacted via phone (610) 954-4500.

Contact Information

Primary practice address
801 Ostrum St Bethlehem PA 18015-1000
Phone: (610) 954-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS009804L Pennsylvania

Profile Details

NPI number 1750355749
LBN Legal business name Chambers, Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 27th, 2007 - about 17 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 1750355749 NPPES
Pennsylvania MEDICAID 0017982500006

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