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
Fax: (434) 924-1333
Website:

Health care specialties

SpecialtyCodeLicense #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 12 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 1376591222 NPPES
Virginia MEDICAID 1376591222
Virginia Other P00651749

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