Chancellor, Paul Stephen

Chancellor, Paul Stephen is an individual health care provider with primary practice located at 3651 Wheeler Rd , Augusta GA 30909-6521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Chancellor, Paul Stephen can be contacted via phone (706) 737-9250.

Contact Information

Primary practice address
3651 Wheeler Rd Augusta GA 30909-6521
Phone: (706) 737-9250
Fax: (706) 733-0697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN123076 Georgia

Profile Details

NPI number 1861459976
LBN Legal business name Chancellor, Paul Stephen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 5th, 2007 - about 17 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 1861459976 NPPES
South Carolina MEDICAID GAN502
South Carolina Other P00169052
South Carolina MEDICAID 397551058A

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