Chamblin, Minor

Chamblin, Minor is an individual health care provider with primary practice located at 1543 Kingsley Ave Suite 18A, Orange Park FL 32073-4535. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Chamblin, Minor can be contacted via phone (904) 269-3324.

Contact Information

Primary practice address
1543 Kingsley Ave Suite 18A Orange Park FL 32073-4535
Phone: (904) 269-3324
Fax: (904) 264-2302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 3646 Florida

Profile Details

NPI number 1124175815
LBN Legal business name Chamblin, Minor
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 17th, 2019 - 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 1124175815 NPPES
Florida Other 73837 BCBS

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