Chandler, Beverly H
Chandler, Beverly H is an individual health care provider with primary practice located at 621 W Baldwin Rd Ste A Ste 102, Panama City FL 32405-3364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Chandler, Beverly H can be contacted via phone (850) 747-3661.Contact Information
Primary practice address
621 W Baldwin Rd Ste A Ste 102
Panama City FL 32405-3364
Phone: (850) 747-3661
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP3115452 | Florida |
Profile Details
NPI number | 1841327038 |
---|---|
LBN Legal business name | Chandler, Beverly H |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | Jun 27th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841327038 | NPPES |
Florida | MEDICAID | 306190600 | |
Florida | Other | 11576 |
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