Chandler, Edward William

Chandler, Edward William is an individual health care provider with primary practice located at 124 E Miracle Strip Pkwy Suite 302, Mary Esther FL 32569-1988. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chandler, Edward William can be contacted via phone (850) 243-8086.

Contact Information

Primary practice address
124 E Miracle Strip Pkwy Suite 302 Mary Esther FL 32569-1988
Phone: (850) 243-8086
Fax: (850) 243-2702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00003183 Florida

Profile Details

NPI number 1336119726
LBN Legal business name Chandler, Edward William
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336119726 NPPES
Florida Other 75209 BCBS

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