Chandler, Jennifer S

Chandler, Jennifer S is an individual health care provider with primary practice located at 700 E Marshall Ave Lema, Longview TX 75601-5580. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Chandler, Jennifer S can be contacted via phone (318) 572-0393.

Contact Information

Primary practice address
700 E Marshall Ave Lema Longview TX 75601-5580
Phone: (318) 572-0393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 203089 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N5613 Texas

Profile Details

NPI number 1093926537
LBN Legal business name Chandler, Jennifer S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Sep 30th, 2011 - about 14 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 1093926537 NPPES
Louisiana MEDICAID 01058

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