Chandler, Jonathan Nicholas
Chandler, Jonathan Nicholas is an sole proprietor health care provider with primary practice located at 1615 Poydras St Ste 900, New Orleans LA 70112-1282. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Chandler, Jonathan Nicholas can be contacted via phone (504) 708-4933.Contact Information
Primary practice address
1615 Poydras St Ste 900
New Orleans LA 70112-1282
Phone: (504) 708-4933
Fax: (833) 708-4933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | MP.000042 | Louisiana |
Profile Details
| NPI number | 1558647891 |
|---|---|
| LBN Legal business name | Chandler, Jonathan Nicholas |
| Credentials | PSYD, MP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2011 |
| Last updated | Dec 31st, 2019 - about 5 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 | 1558647891 | NPPES |
| Louisiana | MEDICAID | 2394479 | |
| Louisiana | MEDICAID | 1558647891 |
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