Chandler, John Cletus
Chandler, John Cletus is an individual health care provider with primary practice located at 48 Cross Park Ct , Greenville SC 29605-4263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Chandler, John Cletus can be contacted via phone (864) 797-7400.Contact Information
Primary practice address
48 Cross Park Ct
Greenville SC 29605-4263
Phone: (864) 797-7400
Fax: (864) 797-7405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 16652 | South Carolina |
Profile Details
| NPI number | 1699721431 |
|---|---|
| LBN Legal business name | Chandler, John Cletus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 1st, 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 | 1699721431 | NPPES |
| South Carolina | MEDICAID | APPROVED |
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