Chandler, Brian
Chandler, Brian is an sole proprietor health care provider with primary practice located at 1222 Plymouth Ave Se , Grand Rapids MI 49506-4024. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Chandler, Brian can be contacted via phone (616) 214-2176.Contact Information
Primary practice address
1222 Plymouth Ave Se
Grand Rapids MI 49506-4024
Phone: (616) 214-2176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | C534098549381 | Michigan |
Profile Details
| NPI number | 1639656267 |
|---|---|
| LBN Legal business name | Chandler, Brian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2018 |
| Last updated | Jul 26th, 2018 - about 6 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 | 1639656267 | NPPES |
| Michigan | MEDICAID | WY0913175107 |
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