Chaney, Lon Phillip

Chaney, Lon Phillip is an individual health care provider with primary practice located at 2626 Shoup Dr , San Diego CA 92110-4268. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Chaney, Lon Phillip can be contacted via phone (757) 641-3994.

Contact Information

Primary practice address
2626 Shoup Dr San Diego CA 92110-4268
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1912342536
LBN Legal business name Chaney, Lon Phillip
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2013
Last updated May 9th, 2013 - about 11 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 1912342536 NPPES
Other 1710-1002X IDC

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