Hernandez, Chancelor Lucas
Hernandez, Chancelor Lucas is an sole proprietor health care provider with primary practice located at 707 S University Ave , Beaver Dam WI 53916-3027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hernandez, Chancelor Lucas can be contacted via phone (920) 219-4009.Contact Information
Primary practice address
707 S University Ave
Beaver Dam WI 53916-3027
Phone: (920) 219-4009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1063-39 | Wisconsin |
Profile Details
| NPI number | 1336529296 |
|---|---|
| LBN Legal business name | Hernandez, Chancelor Lucas |
| Credentials | MA, ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Jun 5th, 2015 - about 9 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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