Chandler, Alicia
Chandler, Alicia is an sole proprietor health care provider with primary practice located at 11605 Bragg Ave , Louisville KY 40243-1353. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Chandler, Alicia can be contacted via phone (502) 500-7252.Contact Information
Primary practice address
11605 Bragg Ave
Louisville KY 40243-1353
Phone: (502) 500-7252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 166435 | Kentucky |
Profile Details
| NPI number | 1619586617 |
|---|---|
| LBN Legal business name | Chandler, Alicia |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2020 |
| Last updated | Jan 22nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619586617 | NPPES |
| Kentucky | Other | 166435 | OPTICAN |
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