Chamberlain, Sophia Marilyn
Chamberlain, Sophia Marilyn is an sole proprietor health care provider with primary practice located at 10635 Floyd St , Overland Park KS 66212-2548. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Chamberlain, Sophia Marilyn can be contacted via phone (816) 337-2799.Contact Information
Primary practice address
10635 Floyd St
Overland Park KS 66212-2548
Phone: (816) 337-2799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 856348404 | Missouri |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 856178603 | Missouri |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 856243308 | Missouri |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 856142906 | Missouri |
Profile Details
| NPI number | 1568755312 |
|---|---|
| LBN Legal business name | Chamberlain, Sophia Marilyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2011 |
| Last updated | May 25th, 2011 - about 14 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 | 1568755312 | NPPES |
| Missouri | MEDICAID | 1609992635 | |
| Missouri | MEDICAID | 1164601563 | |
| Missouri | MEDICAID | 1043337942 | |
| Missouri | MEDICAID | 1396862298 |
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