Chambers, Carrol C

Chambers, Carrol C is an individual health care provider with primary practice located at 4211 Medical Center Drive , Fayetteville NY 13066. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Chambers, Carrol C can be contacted via phone (315) 329-0210.

Contact Information

Primary practice address
4211 Medical Center Drive Fayetteville NY 13066
Phone: (315) 329-0210
Fax: (315) 329-0215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3009361 New York

Profile Details

NPI number 1790759611
LBN Legal business name Chambers, Carrol C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 9th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790759611 NPPES
New York MEDICAID 02185000

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