Chancellor, Laura R

Chancellor, Laura R is an individual health care provider with primary practice located at 1610 S Chadbourne St , San Angelo TX 76903-8510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chancellor, Laura R can be contacted via phone (325) 658-5339.

Contact Information

Primary practice address
1610 S Chadbourne St San Angelo TX 76903-8510
Phone: (325) 658-5339
Fax: (325) 947-0101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06005 Texas

Profile Details

NPI number 1114163466
LBN Legal business name Chancellor, Laura R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2008
Last updated May 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114163466 NPPES
Texas Other 1084391 NCCPA

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