Chandler, Merrill A

Chandler, Merrill A is an sole proprietor health care provider with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chandler, Merrill A can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546-5341
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G50134 California

Profile Details

NPI number 1508847237
LBN Legal business name Chandler, Merrill A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jul 17th, 2007 - about 18 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 1508847237 NPPES
California MEDICAID 00G501340
California Other 00G501340

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