Chandley, Eric Allan

Chandley, Eric Allan is an individual health care provider with primary practice located at 19485 Old Jetton Rd Ste 210 Suite 210, Cornelius NC 28031-6592. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Chandley, Eric Allan can be contacted via phone (704) 316-1830.

Contact Information

Primary practice address
19485 Old Jetton Rd Ste 210 Suite 210 Cornelius NC 28031-6592
Phone: (704) 316-1830
Fax: (704) 316-1835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2389 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1042 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001000344 North Carolina

Profile Details

NPI number 1558307397
LBN Legal business name Chandley, Eric Allan
Credentials PA-C, DC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 25th, 2020 - about 4 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 1558307397 NPPES
North Carolina MEDICAID 8102026

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