Chanthasene, Khanthaly Theresa
Chanthasene, Khanthaly Theresa is an sole proprietor health care provider with primary practice located at 8972 Patterson Loop , Reynoldsburg OH 43068-8014. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Chanthasene, Khanthaly Theresa can be contacted via phone (614) 403-0166.Contact Information
Primary practice address
8972 Patterson Loop
Reynoldsburg OH 43068-8014
Phone: (614) 403-0166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN322169 | Ohio |
Profile Details
| NPI number | 1609084177 |
|---|---|
| LBN Legal business name | Chanthasene, Khanthaly Theresa |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1609084177 | NPPES |
| Ohio | MEDICAID | 2693394 |
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