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NPI Code Detail

MEDICARE: ERIC C CHAMBERLIN M.D.

MEDICARE: ERIC C CHAMBERLIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD421100PA
2207XS0117XOrthopaedic Surgery of the Spine PhysicianMD421100PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111197881OTHERCAQH

General Provider Information

NPI Number : 1093718256
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC C CHAMBERLIN M.D.
Provider Business Mailing Address
First Line : 500 W BERKELEY ST
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-5514
Country : US
Telephone Number : 249-127-5407
Fax Number : 724-912-7542
Provider Business Practice Location Address
First Line : 500 W BERKELEY ST
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-5514
Country : US
Telephone Number : 724-912-7540
Fax Number : 724-912-7542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/14/2024

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