Chamberlain, Jude
Chamberlain, Jude is an individual health care provider with primary practice located at 8701 Mentor Ave , Mentor OH 44060-6103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chamberlain, Jude can be contacted via phone (440) 266-0770.Contact Information
Primary practice address
8701 Mentor Ave
Mentor OH 44060-6103
Phone: (440) 266-0770
Fax: (440) 266-0257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7289 | Ohio |
Profile Details
| NPI number | 1669868006 |
|---|---|
| LBN Legal business name | Chamberlain, Jude |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Apr 13th, 2015 - about 11 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 | 1669868006 | NPPES |
| Ohio | Other | 7289 | LICENSE NUMBER |
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