Chappell, Ashley M

Chappell, Ashley M is an individual health care provider with primary practice located at 1601 Butterfield Trl , Kankakee IL 60901-2959. 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. Chappell, Ashley M can be contacted via phone (815) 936-6500.

Contact Information

Primary practice address
1601 Butterfield Trl Kankakee IL 60901-2959
Fax: (815) 936-6502
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209009583 Illinois

Profile Details

NPI number 1194070458
LBN Legal business name Chappell, Ashley M
Credentials ACNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Nov 8th, 2019 - about 6 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 1194070458 NPPES
Illinois Other 209009583 IL LICENSE

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