Murdock, Chauncey L

Murdock, Chauncey L is an sole proprietor health care provider with primary practice located at 1101 Florida St , Imperial Beach CA 91932-2907. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Murdock, Chauncey L can be contacted via phone (619) 423-3295.

Contact Information

Primary practice address
1101 Florida St Imperial Beach CA 91932-2907
Phone: (619) 423-3295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 209265 California

Profile Details

NPI number 1285822528
LBN Legal business name Murdock, Chauncey L
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 2007 - about 19 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 1285822528 NPPES
California MEDICAID RVN004450

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