Chanchenchop, Alisa

Chanchenchop, Alisa is an individual health care provider with primary practice located at 5649 Wynnewood Dr Ste 104 , Laurys Station PA 18059-1124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chanchenchop, Alisa can be contacted via phone (610) 262-6641.

Contact Information

Primary practice address
5649 Wynnewood Dr Ste 104 Laurys Station PA 18059-1124
Phone: (610) 262-6641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OT020151 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS023067 Pennsylvania

Profile Details

NPI number 1780207761
LBN Legal business name Chanchenchop, Alisa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2020
Last updated Sep 5th, 2023 - about 2 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.

Request for update

Popular Providers