Chancey, Charles Steven

Chancey, Charles Steven is an individual health care provider with primary practice located at 4370 W Main Street , Dothan AL 36305. 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. Chancey, Charles Steven can be contacted via phone (334) 793-5000.

Contact Information

Primary practice address
4370 W Main Street Dothan AL 36305
Phone: (334) 793-5000
Fax: (334) 615-8419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1044470 Alabama

Profile Details

NPI number 1578524328
LBN Legal business name Chancey, Charles Steven
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1578524328 NPPES
Louisiana MEDICAID 1771449
Louisiana MEDICAID 08657095
Louisiana Other 2000621
Louisiana MEDICAID 051515742
Louisiana MEDICAID 000933127B
Louisiana MEDICAID 304212000
Louisiana Other 51515742

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