Chandler, Jeffrey L.

Chandler, Jeffrey L. is an individual health care provider with primary practice located at 222 N 2Nd St Ste 301, Boise ID 83702-6131. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Chandler, Jeffrey L. can be contacted via phone (208) 344-3324.

Contact Information

Primary practice address
222 N 2Nd St Ste 301 Boise ID 83702-6131
Phone: (208) 344-3324
Fax: (208) 344-4349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P-73 Idaho

Profile Details

NPI number 1659354470
LBN Legal business name Chandler, Jeffrey L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Dec 26th, 2008 - about 18 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 1659354470 NPPES
Idaho Other 480033367 RAILROAD MEDICARE
Idaho MEDICAID 003517000 RAILROAD MEDICARE

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