Chandler, Leann
Chandler, Leann is an individual health care provider with primary practice located at 110 Mordington Ave , Charles Town WV 25414. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Chandler, Leann can be contacted via phone (304) 728-9236.Contact Information
Primary practice address
110 Mordington Ave
Charles Town WV 25414
Phone: (304) 728-9236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 9300 | West Virginia |
Profile Details
| NPI number | 1063687341 |
|---|---|
| LBN Legal business name | Chandler, Leann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063687341 | NPPES |
| West Virginia | MEDICAID | 3810008264 |
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