Chant, Dale
Chant, Dale is an individual health care provider with primary practice located at 3000 Essex Rd , Tinton Falls NJ 07753-2631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Chant, Dale can be contacted via phone (732) 643-2070.Contact Information
Primary practice address
3000 Essex Rd
Tinton Falls NJ 07753-2631
Phone: (732) 643-2070
Fax: (732) 643-2015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26N007564700 | New Jersey |
Profile Details
| NPI number | 1992734875 |
|---|---|
| LBN Legal business name | Chant, Dale |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Sep 4th, 2009 - about 17 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 | 1992734875 | NPPES |
| New Jersey | MEDICAID | 7700300 | |
| New Jersey | Other | 8304132 | |
| New Jersey | Other | 522114204B |
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