Chandler, Jonathan Nicholas

Chandler, Jonathan Nicholas is an sole proprietor health care provider with primary practice located at 1615 Poydras St Ste 900, New Orleans LA 70112-1282. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Chandler, Jonathan Nicholas can be contacted via phone (504) 708-4933.

Contact Information

Primary practice address
1615 Poydras St Ste 900 New Orleans LA 70112-1282
Phone: (504) 708-4933
Fax: (833) 708-4933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X MP.000042 Louisiana

Profile Details

NPI number 1558647891
LBN Legal business name Chandler, Jonathan Nicholas
Credentials PSYD, MP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2011
Last updated Dec 31st, 2019 - about 7 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 1558647891 NPPES
Louisiana MEDICAID 2394479
Louisiana MEDICAID 1558647891

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