Deshields, Chantell

Deshields, Chantell is an individual health care provider with primary practice located at 2 Penn Blvd Ste 103 , Philadelphia PA 19144-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Deshields, Chantell can be contacted via phone (215) 842-0406.

Contact Information

Primary practice address
2 Penn Blvd Ste 103 Philadelphia PA 19144-1402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP020342 Pennsylvania

Profile Details

NPI number 1649802711
LBN Legal business name Deshields, Chantell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 2020 - 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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