Griessel, Chanda Annette
Griessel, Chanda Annette is an individual health care provider with primary practice located at 150 Kimel Park Dr Ste 200 , Winston Salem NC 27103-6992. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Griessel, Chanda Annette can be contacted via phone (336) 760-2240.Contact Information
Primary practice address
150 Kimel Park Dr Ste 200
Winston Salem NC 27103-6992
Phone: (336) 760-2240
Fax: (336) 760-2239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 200301236 | North Carolina |
Profile Details
| NPI number | 1306856703 |
|---|---|
| LBN Legal business name | Griessel, Chanda Annette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jul 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306856703 | NPPES |
| North Carolina | MEDICAID | 89135CA |
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