Chandler, Carly
Chandler, Carly is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3981. 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. Chandler, Carly can be contacted via phone (217) 366-1200.Contact Information
Primary practice address
101 W University Ave
Champaign IL 61820-3981
Phone: (217) 366-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Illinois |
Profile Details
| NPI number | 1568190494 |
|---|---|
| LBN Legal business name | Chandler, Carly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2022 |
| Last updated | Nov 23rd, 2022 - about 4 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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