Chandler, Indira Michelle

Chandler, Indira Michelle is an individual health care provider with primary practice located at 1 Lupton Ave , Woodbury NJ 08096-5901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chandler, Indira Michelle can be contacted via phone (856) 537-5081.

Contact Information

Primary practice address
1 Lupton Ave Woodbury NJ 08096-5901
Phone: (856) 537-5081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00470400 New Jersey

Profile Details

NPI number 1124457247
LBN Legal business name Chandler, Indira Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Nov 15th, 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 1124457247 NPPES
New Jersey MEDICAID 0422169

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