Chandler, Angela Lou

Chandler, Angela Lou is an individual health care provider with primary practice located at 1 Childrens Way # 653 , Little Rock AR 72202-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Chandler, Angela Lou can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Childrens Way # 653 Little Rock AR 72202-3500
Fax: (501) 364-4264
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X E-4828 Arkansas

Profile Details

NPI number 1790886356
LBN Legal business name Chandler, Angela Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 7th, 2011 - about 13 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 1790886356 NPPES
Arkansas Other 06070015600 QUALCHOICE
Arkansas MEDICAID 163126001 QUALCHOICE

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