Chandler, Creighton
Chandler, Creighton is an individual health care provider with primary practice located at 920 Oliver Rd # A , Monroe LA 71201-5702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Chandler, Creighton can be contacted via phone (318) 361-2136.Contact Information
Primary practice address
920 Oliver Rd # A
Monroe LA 71201-5702
Phone: (318) 361-2136
Fax: (318) 812-6338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 011443 | Louisiana |
Profile Details
| NPI number | 1366548885 |
|---|---|
| LBN Legal business name | Chandler, Creighton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jan 6th, 2020 - about 6 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 | 1366548885 | NPPES |
| Louisiana | MEDICAID | 1124541 |
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