Johnson, Chanler

Johnson, Chanler is an sole proprietor health care provider with primary practice located at 236 Lorraine Ave , Waukegan IL 60085-3620. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Johnson, Chanler can be contacted via phone (224) 302-2169.

Contact Information

Primary practice address
236 Lorraine Ave Waukegan IL 60085-3620
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1538874243
LBN Legal business name Johnson, Chanler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2023
Last updated Jan 17th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538874243 NPPES
Alabama Other NONE DO NOT HAVE MEDICARE

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