Chamczuk, Andrea Jennifer

Chamczuk, Andrea Jennifer is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504-1006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Chamczuk, Andrea Jennifer can be contacted via phone (330) 743-1928.

Contact Information

Primary practice address
1044 Belmont Ave Youngstown OH 44504-1006
Phone: (330) 743-1928
Fax: (330) 744-2110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35.141789 Ohio
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 82475 South Carolina
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 28190 Nebraska

Profile Details

NPI number 1831475730
LBN Legal business name Chamczuk, Andrea Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2011
Last updated Jun 9th, 2021 - about 4 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 1831475730 NPPES
Alabama MEDICAID 137129
Alabama Other P01212534
Alabama MEDICAID 01425552
Alabama Other P01212534

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