Chandler, Justin William
Chandler, Justin William is an individual health care provider with primary practice located at 1915 Lendew St , Greensboro NC 27408-7033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Chandler, Justin William can be contacted via phone (336) 275-3325.Contact Information
Primary practice address
1915 Lendew St
Greensboro NC 27408-7033
Phone: (336) 275-3325
Fax: (336) 275-5346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2010-00600 | North Carolina |
Profile Details
| NPI number | 1871714733 |
|---|---|
| LBN Legal business name | Chandler, Justin William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871714733 | NPPES |
| North Carolina | Other | 2010-00600 | NC MEDICAL BOARD |
| North Carolina | MEDICAID | 5915437 | NC MEDICAL BOARD |
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