Chenkin, Sandra S

Chenkin, Sandra S is an individual health care provider with primary practice located at 830 Oak St , Brockton MA 02301-1168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chenkin, Sandra S can be contacted via phone (508) 941-0661.

Contact Information

Primary practice address
830 Oak St Brockton MA 02301-1168
Fax: (508) 941-0349
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X I50335 Massachusetts

Profile Details

NPI number 1851381552
LBN Legal business name Chenkin, Sandra S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jan 8th, 2008 - about 17 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 1851381552 NPPES
Massachusetts MEDICAID 3164551

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