Adaba, Chantelle Brielle Young

Adaba, Chantelle Brielle Young is an individual health care provider with primary practice located at 848 Candlebark Dr , Jacksonville FL 32225-5322. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is her primary health care specialty. Adaba, Chantelle Brielle Young can be contacted via phone (404) 934-0077.

Contact Information

Primary practice address
848 Candlebark Dr Jacksonville FL 32225-5322
Phone: (404) 934-0077
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1295226249
LBN Legal business name Adaba, Chantelle Brielle Young
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2018
Last updated Jul 5th, 2024 - 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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