Chaney, Charlie Jordan

Chaney, Charlie Jordan is an individual health care provider with primary practice located at 500 W 10Th St , Wilmington DE 19801-1422. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Chaney, Charlie Jordan can be contacted via phone (302) 984-3380.

Contact Information

Primary practice address
500 W 10Th St Wilmington DE 19801-1422
Phone: (302) 984-3380
Fax: (302) 691-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X LE-0000160 Delaware

Profile Details

NPI number 1629116546
LBN Legal business name Chaney, Charlie Jordan
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 9th, 2007 - 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 1629116546 NPPES
Delaware MEDICAID 1000022914

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