Chancellor, Gertrude
Chancellor, Gertrude is an individual health care provider with primary practice located at 22481 Aspan St Ste A , Lake Forest CA 92630-1648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chancellor, Gertrude can be contacted via phone (949) 240-2272.Contact Information
Primary practice address
22481 Aspan St Ste A
Lake Forest CA 92630-1648
Phone: (949) 240-2272
Fax: (949) 240-5869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 95007950 | California |
Profile Details
| NPI number | 1467944900 |
|---|---|
| LBN Legal business name | Chancellor, Gertrude |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2018 |
| Last updated | Jun 24th, 2021 - about 5 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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