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Contact Information

JEFFREY L CHANDLER, DPM
222 N 2ND ST
STE 301
BOISE, ID83702-6131
 Phone: 208-344-3324
 Fax: 208-344-4349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JEFFREY L CHANDLER · (Male)

NPI Number 1659354470
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/25/2005
Last updated 12/26/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • ID License # P-73
  • ID Medicaid 003517000
  • ID Other 480033367 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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