Chambers, Johnelle
Chambers, Johnelle is an individual health care provider with primary practice located at 4045 S Shelby Ln , Douglasville GA 30135-4141. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Chambers, Johnelle can be contacted via phone (678) 458-5621.Contact Information
Primary practice address
4045 S Shelby Ln
Douglasville GA 30135-4141
Phone: (678) 458-5621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1821600990 |
|---|---|
| LBN Legal business name | Chambers, Johnelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2020 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1821600990 | NPPES |
| Georgia | MEDICAID | 85-2447916 | |
| Georgia | Other | 0555561897 |
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