Chant, Dale

Chant, Dale is an individual health care provider with primary practice located at 3000 Essex Rd , Tinton Falls NJ 07753-2631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Chant, Dale can be contacted via phone (732) 643-2070.

Contact Information

Primary practice address
3000 Essex Rd Tinton Falls NJ 07753-2631
Fax: (732) 643-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26N007564700 New Jersey

Profile Details

NPI number 1992734875
LBN Legal business name Chant, Dale
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Sep 4th, 2009 - about 15 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 1992734875 NPPES
New Jersey MEDICAID 7700300
New Jersey Other 8304132
New Jersey Other 522114204B

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