Chandler, Jason Edward
Chandler, Jason Edward is an individual health care provider with primary practice located at 422 W Loveland Ave , Loveland OH 45140-2322. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Chandler, Jason Edward can be contacted via phone (513) 334-7272.Contact Information
Primary practice address
422 W Loveland Ave
Loveland OH 45140-2322
Phone: (513) 334-7272
Fax: (513) 676-0051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.162169 | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39004679A | Indiana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.2202902-SUPV | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E.2202902-SUPV | Ohio |
Profile Details
| NPI number | 1083240550 |
|---|---|
| LBN Legal business name | Chandler, Jason Edward |
| Credentials | MS, LPCC-S, LICDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2020 |
| Last updated | Mar 22nd, 2024 - about 8 months 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 | 1083240550 | NPPES |
| Other | CS2223800174 | CARESOURCE PROVIDER NUMBER | |
| Other | 6185268 | CARESOURCE PROVIDER NUMBER | |
| MEDICAID | 0479064 | CARESOURCE PROVIDER NUMBER | |
| MEDICAID | 300084117 | CARESOURCE PROVIDER NUMBER |
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