Healthcare Provider Details

I. General information

NPI: 1184957615
Provider Name (Legal Business Name): WILL NATHAN CHANDLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 09/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CALIFORNIA AVE
BAKERSFIELD CA
93304-1405
US

IV. Provider business mailing address

1301 CALIFORNIA AVE
BAKERSFIELD CA
93304-1405
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-4756
  • Fax: 661-324-1652
Mailing address:
  • Phone: 661-324-4756
  • Fax: 661-324-1652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: