Chantelois, Judith Lynn

Chantelois, Judith Lynn is an individual health care provider with primary practice located at 800 Oak St , Farmville VA 23901-1199. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chantelois, Judith Lynn can be contacted via phone (434) 315-2950.

Contact Information

Primary practice address
800 Oak St Farmville VA 23901-1199
Phone: (434) 315-2950
Fax: (434) 392-8272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43193 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101245734 Virginia

Profile Details

NPI number 1548216088
LBN Legal business name Chantelois, Judith Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Oct 15th, 2011 - about 15 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 1548216088 NPPES
Wisconsin MEDICAID 34112000

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