Chantelle Grant in Port Charlotte - Clinical
Chantelle Grant - NPI 1780855312
Chantelle Grant is a Clinical in Port Charlotte, Florida. Chantelle Grant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chantelle Grant is 1780855312. The last update date is 2014-12-12.
Chantelle Grant's current location address is Po Box 496080, Port Charlotte, Florida. You can contact this provider via phone number 9416297855 and fax number 9416299589. The mailing address for Chantelle Grant is Po Box 496080, Port Charlotte, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chantelle Grant |
|---|---|
| Address | Po Box 496080, Port Charlotte, Florida |
| Phone Number | 9416297855 |
| Fax Number | 9416299589 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1780855312 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2014-12-12 |
Provider Mailing Address Detail
| Address | Po Box 496080 |
|---|---|
| City | Port Charlotte |
| State | Florida (FL) |
| Post Code | 339496080 |
| Phone Number | 9416297855 |
| Fax Number | 9416299589 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW8993 |
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What is the unique provider identifier assigned to Chantelle Grant?
The Chantelle Grant has been issued the NPI (National Provider Identifier) 1780855312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Chantelle Grant?
The Chantelle Grant is physically situated at Po Box 496080, in the city of Port Charlotte, state of FL, with the postal code 339496080.
What is the Chantelle Grant's area of specialization and corresponding taxonomy classification?
The Chantelle Grant's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Chantelle Grant receive the assignment of its 1780855312 from the Centers for Medicare & Medicaid Services?
The Chantelle Grant was issued its 1780855312 by the Centers for Medicare & Medicaid Services on 2008-03-24.
When was the Chantelle Grant's information last updated?
The Chantelle Grant's information was last updated on 2014-12-12.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN