Chantal, Kamal A
Chantal, Kamal A is an individual health care provider with primary practice located at 101 Candlewood Ct , Lynchburg VA 24502-2654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chantal, Kamal A can be contacted via phone (434) 363-4190.Contact Information
Primary practice address
101 Candlewood Ct
Lynchburg VA 24502-2654
Phone: (434) 363-4190
Fax: (434) 363-4191
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110002238 | Virginia |
Profile Details
NPI number | 1104817568 |
---|---|
LBN Legal business name | Chantal, Kamal A |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2005 |
Last updated | Sep 22nd, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104817568 | NPPES |
Virginia | MEDICAID | 1104817568 |
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