Mcneil, Jaime Chandler

Mcneil, Jaime Chandler is an individual health care provider with primary practice located at 385 West Main Street , Avon CT 06001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcneil, Jaime Chandler can be contacted via phone (860) 777-1280.

Contact Information

Primary practice address
385 West Main Street Avon CT 06001
Fax:
Website:

Profile Details

NPI number 1790861896
LBN Legal business name Mcneil, Jaime Chandler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 14th, 2020 - about 6 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 1790861896 NPPES
Connecticut Other 004675 CT LIC
Connecticut MEDICAID 1790861896 CT LIC

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