Mccolley, Chancelor

Mccolley, Chancelor is an individual health care provider with primary practice located at 8430 Enterprise Cir Ste 130 , Lakewood Ranch FL 34202-4111. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccolley, Chancelor can be contacted via phone (941) 366-3000.

Contact Information

Primary practice address
8430 Enterprise Cir Ste 130 Lakewood Ranch FL 34202-4111
Phone: (941) 366-3000
Fax: (941) 366-3002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115014 Florida

Profile Details

NPI number 1326704826
LBN Legal business name Mccolley, Chancelor
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2021
Last updated Nov 10th, 2021 - about 3 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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