Chambers, Mary

Chambers, Mary is an individual health care provider with primary practice located at 1 S Creek Dr Ste 102 , Monticello KY 42633-9472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chambers, Mary can be contacted via phone (606) 348-3365.

Contact Information

Primary practice address
1 S Creek Dr Ste 102 Monticello KY 42633-9472
Phone: (606) 348-3365
Fax: (606) 340-3413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01053292A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33259 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38747 Tennessee

Profile Details

NPI number 1124027438
LBN Legal business name Chambers, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 21st, 2022 - about 3 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 1124027438 NPPES
Indiana MEDICAID 200302810

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