Fussell, Chandler

Fussell, Chandler is an individual health care provider with primary practice located at 400 E Tickle St , Dyersburg TN 38024-3120. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Fussell, Chandler can be contacted via phone (731) 285-2410.

Contact Information

Primary practice address
400 E Tickle St Dyersburg TN 38024-3120
Phone: (731) 285-2410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 235795 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 36458 Tennessee

Profile Details

NPI number 1588419741
LBN Legal business name Fussell, Chandler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2024
Last updated Jul 8th, 2024 - 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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