Fountain, Chandler

Fountain, Chandler is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0816. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Fountain, Chandler can be contacted via phone (434) 924-9400.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0816
Phone: (434) 924-9400
Fax: (434) 982-1618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 0101278936 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101278936 Virginia

Profile Details

NPI number 1073047965
LBN Legal business name Fountain, Chandler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2017
Last updated Aug 21st, 2023 - about last year

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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