Creighton Chandler in Monroe - Dermatology
Creighton Chandler - NPI 1366548885
Creighton Chandler is a Dermatology in Monroe, Louisiana. Creighton Chandler practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Creighton Chandler is 1366548885. The last update date is 2020-01-06.
Creighton Chandler's current location address is 130 Desiard St Ste 355, Monroe, Louisiana. You can contact this provider via phone number 3188077875 and fax number 3188126603. The mailing address for Creighton Chandler is 130 Desiard St Ste 355, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Creighton Chandler |
|---|---|
| Address | 130 Desiard St Ste 355, Monroe, Louisiana |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366548885 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2020-01-06 |
Provider Mailing Address Detail
| Address | 130 Desiard St Ste 355 |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712017363 |
| Phone Number | 3188077875 |
| Fax Number | 3188126603 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 11443 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124541 | LA | -- |
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What is the unique identification code assigned to Creighton Chandler by the Centers for Medicare & Medicaid Services?
The Creighton Chandler has been issued the NPI (National Provider Identifier) 1366548885. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Creighton Chandler located?
The Creighton Chandler is located at 130 Desiard St Ste 355, Monroe, LA 712017363.
What is Creighton Chandler's specialized field of practice, and what is the corresponding taxonomy classification code?
The Creighton Chandler's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did the Creighton Chandler receive its 1366548885 assignment from the Centers for Medicare & Medicaid Services?
The Creighton Chandler was assigned its 1366548885 by the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date were the details pertaining to Creighton Chandler last refreshed?
The information related to the Creighton Chandler, including its address, specialty, and other relevant details, was last updated on 2020-01-06.
NPI Number: 1730182858
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