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
Phone: (224) 302-2169
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538874243 | NPPES |
Alabama | Other | NONE | DO NOT HAVE MEDICARE |
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