Chandler, Mary
Chandler, Mary is an individual health care provider with primary practice located at 4 Hospital Dr , Charlottesville VA 22908-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chandler, Mary can be contacted via phone (434) 924-5088.Contact Information
Primary practice address
4 Hospital Dr
Charlottesville VA 22908-0001
Phone: (434) 924-5088
Fax: (434) 924-1333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024165794 | Virginia |
Profile Details
| NPI number | 1376591222 |
|---|---|
| LBN Legal business name | Chandler, Mary |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Feb 10th, 2012 - about 13 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 | 1376591222 | NPPES |
| Virginia | MEDICAID | 1376591222 | |
| Virginia | Other | P00651749 |
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