Chambers, Wendy L

Chambers, Wendy L is an individual health care provider with primary practice located at 655 W 8Th St Ufjax - Dept. Of Surgery (Trauma), Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Chambers, Wendy L can be contacted via phone (904) 244-6631.

Contact Information

Primary practice address
655 W 8Th St Ufjax - Dept. Of Surgery (Trauma) Jacksonville FL 32209-6511
Fax: (904) 244-4687
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3225 Florida

Profile Details

NPI number 1417923822
LBN Legal business name Chambers, Wendy L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Nov 13th, 2009 - about 16 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 1417923822 NPPES
Florida MEDICAID 2907160-00
Florida MEDICAID 135550005A

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