Chandler, Leann

Chandler, Leann is an individual health care provider with primary practice located at 110 Mordington Ave , Charles Town WV 25414. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Chandler, Leann can be contacted via phone (304) 728-9236.

Contact Information

Primary practice address
110 Mordington Ave Charles Town WV 25414
Phone: (304) 728-9236
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 9300 West Virginia

Profile Details

NPI number 1063687341
LBN Legal business name Chandler, Leann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 17 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 1063687341 NPPES
West Virginia MEDICAID 3810008264

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