Chandler, Ryan
Chandler, Ryan is an sole proprietor health care provider with primary practice located at 2142 Herschel St , Jacksonville FL 32204-3820. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Chandler, Ryan can be contacted via phone (904) 477-4750.Contact Information
Primary practice address
2142 Herschel St
Jacksonville FL 32204-3820
Phone: (904) 477-4750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1326387994 |
|---|---|
| LBN Legal business name | Chandler, Ryan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2013 |
| Last updated | Feb 1st, 2013 - about 13 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 | 1326387994 | NPPES |
| Florida | MEDICAID | 678367868 | |
| Florida | MEDICAID | 678367896 |
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