Chandler, Suzanne Michele

Chandler, Suzanne Michele is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chandler, Suzanne Michele can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0008038-SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I.0008038-SUPV Ohio

Profile Details

NPI number 1205129640
LBN Legal business name Chandler, Suzanne Michele
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated Feb 8th, 2017 - about 9 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 1205129640 NPPES
Ohio Other 0074946 MEDICAID LEGACY NUMBER
Ohio Other 0074861 MEDICAID LEGACY NUMBER
Ohio Other 01-0693 MEDICAID LEGACY NUMBER
Ohio Other H208170 MEDICAID LEGACY NUMBER

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