Momon-Nelson, Chavone Dantrell

Momon-Nelson, Chavone Dantrell is an individual health care provider with primary practice located at 2 Jennifer Ct Ste B , Carlisle PA 17015-7694. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Momon-Nelson, Chavone Dantrell can be contacted via phone (717) 218-9830.

Contact Information

Primary practice address
2 Jennifer Ct Ste B Carlisle PA 17015-7694
Fax: (717) 218-9833
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD442418 Pennsylvania

Profile Details

NPI number 1457663106
LBN Legal business name Momon-Nelson, Chavone Dantrell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2010
Last updated Jan 26th, 2021 - about 4 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 1457663106 NPPES
Pennsylvania MEDICAID 1025762400003

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